本文選題：老年眩暈 + 干預(yù)項(xiàng)目　； 參考：《中國(guó)全科醫(yī)學(xué)》2017年20期

【摘要】：目的前庭康復(fù)是治療前庭功能障礙所致眩暈的有效方法,但相關(guān)研究較少。本研究的目的是確定一個(gè)有效的前庭康復(fù)網(wǎng)絡(luò)干預(yù)項(xiàng)目,為社區(qū)老年眩暈患者提供初級(jí)保健。方法本研究為單中心單盲隨機(jī)對(duì)照試驗(yàn),選取英國(guó)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(fù)網(wǎng)絡(luò)干預(yù)項(xiàng)目(干預(yù)組),一組采用常規(guī)初級(jí)護(hù)理(對(duì)照組)。干預(yù)組通過(guò)訪問(wèn)一個(gè)基于互聯(lián)網(wǎng)的自動(dòng)化的程序來(lái)教授前庭康復(fù)訓(xùn)練,并提出認(rèn)知行為管理策略。基線、3個(gè)月時(shí)、6個(gè)月時(shí)采用眩暈癥狀量表簡(jiǎn)表(VSS-SF)檢測(cè)眩暈及眩暈相關(guān)殘疾情況。結(jié)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(gè)月時(shí)完成VSS-SF檢測(cè),230例(78%)患者6個(gè)月時(shí)完成VSS-SF檢測(cè)。與對(duì)照組比較,干預(yù)組3個(gè)月時(shí)與基線VSS-SF眩暈減輕,差異有統(tǒng)計(jì)學(xué)意義[差值2.75分,95%CI(1.39,4.12),P0.001]和干預(yù)組6個(gè)月時(shí)與基線VSS-SF眩暈減輕,差異有統(tǒng)計(jì)學(xué)意義[差值2.26分,95%CI(0.39,4.12),P=0.02]。與對(duì)照組比較,干預(yù)組3個(gè)月時(shí)與基線眩暈相關(guān)殘疾減輕,差異有統(tǒng)計(jì)學(xué)意義[差值6.15分,95%CI(2.81,9.49),P0.001]和干預(yù)組6個(gè)月時(shí)與基線眩暈相關(guān)殘疾減輕,差異有統(tǒng)計(jì)學(xué)意義[差值5.58分,95%CI(1.19,10.00),P=0.01]。結(jié)論前庭康復(fù)網(wǎng)絡(luò)干預(yù)項(xiàng)目可以減輕社區(qū)老年眩暈患者眩暈及眩暈相關(guān)殘疾,在社區(qū)環(huán)境中有廣泛的應(yīng)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(hào)】：R741

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