前庭康复训练对原发性良性阵发性位置性眩晕患者复位后残余症状的疗效分析

发布时间：2018-08-28 20:51

【摘要】：目的探讨早期前庭康复训练对原发性良性阵发性位置性眩晕(BPPV)复位成功后残余症状的疗效。方法纳入2016年3月至12月就诊于第二军医大学长征医院神经内科的原发性BPPV且复位成功的100例患者,将其中复位24h后仍存在残余症状的38例随机分为前庭康复训练组及对照组,各19例。对照组患者未接受特殊处理,前庭康复训练组接受Cawthorne-Cooksey前庭康复训练,两组均随访4周,每周由神经科医师进行1次随访,行眩晕残障问卷(DHI)量表评估患者疗效。结果两组患者随访1~4周的DHI评分较复位后24h评分均有好转(P均0.05)。复位后24h及第1周随访时两组间DHI评分差异均无统计学意义(P=0.609、P=0.627),第2~4周随访时前庭康复训练组DHI评分均低于对照组(P均0.05)。结论复位后早期给予前庭康复训练可有效缓解BPPV复位后的残余症状,降低功能残障发生率。
[Abstract]:Objective to investigate the effect of early vestibular rehabilitation training on residual symptoms after (BPPV) reduction of primary benign paroxysmal positional vertigo. Methods from March to December 2016, 100 patients with primary BPPV who were admitted to the Department of Neurology, Changzheng Hospital, second military Medical University, were enrolled. Among them, 38 patients with residual symptoms 24 hours after reduction were randomly divided into vestibular rehabilitation training group and control group. Each 19 cases. The patients in the control group received no special treatment, the vestibular rehabilitation training group received Cawthorne-Cooksey vestibular rehabilitation training, the two groups were followed up for 4 weeks, followed up once a week by neurologists, and the patients were evaluated with (DHI) scale of vertigo disability questionnaire. Results the DHI score of the two groups was better than that of the 24 h after reduction (P0. 05) after 1 and 4 weeks follow-up (P < 0. 05). There was no significant difference in DHI score between the two groups at 24 h after reduction and 1 week follow-up (P < 0. 609). The DHI score of vestibular rehabilitation training group was lower than that of control group at 2 ~ 4 weeks follow-up (P 0. 05). Conclusion early vestibular rehabilitation training after reduction can effectively relieve the residual symptoms after BPPV reduction and reduce the incidence of functional disability.
【作者单位】：第二军医大学长征医院神经内科;
【分类号】：R764

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