本文選題：老年眩暈 + 干預項目��； 參考：《中國全科醫(yī)學》2017年20期

【摘要】：目的前庭康復是治療前庭功能障礙所致眩暈的有效方法,但相關研究較少。本研究的目的是確定一個有效的前庭康復網(wǎng)絡干預項目,為社區(qū)老年眩暈患者提供初級保健。方法本研究為單中心單盲隨機對照試驗,選取英國南部年齡50歲以上的社區(qū)老年眩暈患者,分為兩組,一組采用前庭康復網(wǎng)絡干預項目(干預組),一組采用常規(guī)初級護理(對照組)。干預組通過訪問一個基于互聯(lián)網(wǎng)的自動化的程序來教授前庭康復訓練,并提出認知行為管理策略�；�、3個月時、6個月時采用眩暈癥狀量表簡表(VSS-SF)檢測眩暈及眩暈相關殘疾情況。結果共納入296例患者,其中女195例(66%),平均年齡67歲。250例(84%)患者3個月時完成VSS-SF檢測,230例(78%)患者6個月時完成VSS-SF檢測。與對照組比較,干預組3個月時與基線VSS-SF眩暈減輕,差異有統(tǒng)計學意義[差值2.75分,95%CI(1.39,4.12),P0.001]和干預組6個月時與基線VSS-SF眩暈減輕,差異有統(tǒng)計學意義[差值2.26分,95%CI(0.39,4.12),P=0.02]。與對照組比較,干預組3個月時與基線眩暈相關殘疾減輕,差異有統(tǒng)計學意義[差值6.15分,95%CI(2.81,9.49),P0.001]和干預組6個月時與基線眩暈相關殘疾減輕,差異有統(tǒng)計學意義[差值5.58分,95%CI(1.19,10.00),P=0.01]。結論前庭康復網(wǎng)絡干預項目可以減輕社區(qū)老年眩暈患者眩暈及眩暈相關殘疾,在社區(qū)環(huán)境中有廣泛的應用前景。
[Abstract]:Objective vestibular rehabilitation is an effective method for the treatment of vertigo caused by vestibular dysfunction. The aim of this study was to identify an effective vestibular rehabilitation network intervention program to provide primary health care for elderly vertigo patients in the community. Methods the study was conducted in a single-center, single-blind randomized controlled trial. Elderly vertigo patients aged over 50 years old in southern England were selected and divided into two groups. One group was treated with vestibular rehabilitation network intervention (intervention group) and the other group with routine primary nursing (control group). The intervention group teaches vestibular rehabilitation by accessing an automated Internet-based program and proposes cognitive behavioral management strategies. At baseline, 3 months and 6 months, the vertigo and vertigo related disability were measured by VSS-SF. Results A total of 296 patients were included, among whom 195 were female. The average age was 67 years. 250 patients (84%) completed the VSS-SF examination at 3 months. 230 patients (78 patients) completed the VSS-SF detection at 6 months. Compared with the control group, the vertigo of the intervention group was alleviated from the baseline VSS-SF at 3 months, the difference was statistically significant [the difference was 2.75 minutes (2.75 minutes) and the intervention group was less than the baseline VSS-SF dizziness at 6 months (the difference was 2.26 minutes) and the difference between the two groups was statistically significant (2.26 minutes, 95CII 0.394.12P0.02). Compared with the control group, the disability associated with baseline vertigo was alleviated in the intervention group at 3 months, the difference was statistically significant [the difference was 6.15 minutes and 9.49% P 0.001] and that of the intervention group at 6 months was less than that of the baseline vertigo group. The difference was statistically significant [the difference was 5.58 minutes and 95% CI 1.1910.00 P < 0.01]. Conclusion the vestibular rehabilitation network intervention project can reduce vertigo and vertigo related disability in the elderly vertigo patients in community. It has a wide application prospect in community environment.
【分類號】：R741

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