【摘要】：目的探討早期前庭康復(fù)訓(xùn)練對(duì)原發(fā)性良性陣發(fā)性位置性眩暈(BPPV)復(fù)位成功后殘余癥狀的療效。方法納入2016年3月至12月就診于第二軍醫(yī)大學(xué)長(zhǎng)征醫(yī)院神經(jīng)內(nèi)科的原發(fā)性BPPV且復(fù)位成功的100例患者,將其中復(fù)位24h后仍存在殘余癥狀的38例隨機(jī)分為前庭康復(fù)訓(xùn)練組及對(duì)照組,各19例。對(duì)照組患者未接受特殊處理,前庭康復(fù)訓(xùn)練組接受Cawthorne-Cooksey前庭康復(fù)訓(xùn)練,兩組均隨訪4周,每周由神經(jīng)科醫(yī)師進(jìn)行1次隨訪,行眩暈殘障問卷(DHI)量表評(píng)估患者療效。結(jié)果兩組患者隨訪1~4周的DHI評(píng)分較復(fù)位后24h評(píng)分均有好轉(zhuǎn)(P均0.05)。復(fù)位后24h及第1周隨訪時(shí)兩組間DHI評(píng)分差異均無統(tǒng)計(jì)學(xué)意義(P=0.609、P=0.627),第2~4周隨訪時(shí)前庭康復(fù)訓(xùn)練組DHI評(píng)分均低于對(duì)照組(P均0.05)。結(jié)論復(fù)位后早期給予前庭康復(fù)訓(xùn)練可有效緩解BPPV復(fù)位后的殘余癥狀,降低功能殘障發(fā)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.
【作者單位】： 第二軍醫(yī)大學(xué)長(zhǎng)征醫(yī)院神經(jīng)內(nèi)科;
【分類號(hào)】：R764

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