本文選題：眩暈 + 前庭康復(fù)訓(xùn)練　； 參考：《臨床耳鼻咽喉頭頸外科雜志》2017年12期

【摘要】：目的:探討良性陣發(fā)性位置性眩暈(BPPV)患者成功手法復(fù)位后行康復(fù)訓(xùn)練對(duì)殘余癥狀及生活質(zhì)量的影響。方法:選取成功手法復(fù)位后的BPPV殘余患者98例,隨機(jī)分為3組:A組32例為對(duì)照組,不予任何處置;B組33例,指導(dǎo)患者進(jìn)行家庭自主康復(fù)訓(xùn)練;C組33例,指導(dǎo)患者行Brandt-Daroff習(xí)服訓(xùn)練。采用眩暈殘障量表(DHI)和殘余癥狀持續(xù)時(shí)間進(jìn)行評(píng)估。結(jié)果:前庭康復(fù)訓(xùn)練1周后,B、C組DHI分值均下降,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),B、C組DHI分值分別與A組比較,均差異有統(tǒng)計(jì)學(xué)意義(P0.01);康復(fù)訓(xùn)練4周后,B、C組DHI分值較A組均下降,B組下降較C組明顯,均差異有統(tǒng)計(jì)學(xué)意義(P0.01)。殘余癥狀持續(xù)時(shí)間比較,B組與C組差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),B、C組均低于A組(P0.05)。結(jié)論:BPPV患者成功復(fù)位后適量的康復(fù)練習(xí)有助于促進(jìn)前庭中樞的代償,改善殘余癥狀,提高患者的生活質(zhì)量,可作為耳石癥患者復(fù)位后殘余癥狀的輔助治療措施。
[Abstract]:Objective: to investigate the effect of rehabilitation training on residual symptoms and quality of life (QOL) in patients with benign paroxysmal positional vertigo (BPPV) after successful manual reduction. Methods: 98 cases of residual BPPV patients after successful manual reduction were randomly divided into 3 groups: control group (n = 32), group B (n = 33), group C (n = 33) and group C (n = 33). The dizziness disability scale (DHI) and the duration of residual symptoms were evaluated. Results: after 1 week of vestibular rehabilitation training, the scores of DHI in group C decreased, and there was no significant difference in DHI score between group C and group A. After 4 weeks of rehabilitation training, the DHI score of group C was significantly lower than that of group A and group B was significantly lower than that of group C (P 0.01). There was no significant difference between group B and group C in the duration of residual symptoms. Group C was lower than group A (P 0.05). Conclusion proper rehabilitation exercises after successful reduction of the patients with BPPV can promote vestibular center compensation, improve residual symptoms and improve the quality of life of patients with otolith, and can be used as an auxiliary treatment measure for residual symptoms after reduction in patients with otolith.
【作者單位】： 山西醫(yī)科大學(xué)護(hù)理學(xué)院;山西醫(yī)科大學(xué)第一醫(yī)院耳鼻咽喉頭頸外科;
【分類號(hào)】：R764.3

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