前庭疾病前庭康复专家共识  

Expert consensus on vestibular rehabilitation in vestibular disorders

作　　者：中国老年医学学会眩晕/前庭医学分会 国家卫生健康委员会能力建设和继续教育中心耳鼻喉科专家委员会 杨旭[2] 王璟 时海波 常丽英 Chinese Geriatrics Society for Vestibular Disorders;Expert Committee on Otolaryngology,National Health Commission Capacity Building and Continuing Education Center;Yang Xu;Wang Jing(不详;Department of Neurology,Aerospace Center Hospital(Peking University Aerospace School of Clinical Medicine),Beijing 100049,China;ENT Institute and Department of Otorhinolaryngology,Eye&ENT Hospital,Fudan University/NHC Key Laboratory of Hearing Medicine(Fudan University),Shanghai 200031,China)

机构地区：[1]不详 [2]航天中心医院(北京大学航天临床医学院)神经内科,北京100049 [3]复旦大学附属眼耳鼻喉科医院耳鼻喉科,上海听觉医学中心,国家卫生健康委员会听觉医学重点实验室,上海200031 [4]上海交通大学医学院附属第六人民医院耳鼻咽喉头颈外科 [5]湖北文理学院附属医院,襄阳市中心医院神经内科

出　　处：《中华医学杂志》2024年第14期1097-1107,共11页National Medical Journal of China

基　　金：北京市自然科学基金(7222237);上海市科学技术委员会项目(23DZ2202900)

摘　　要：前庭康复治疗(VRT)是治疗外周及中枢眩晕/前庭疾病的有效方法,可提高患者的前庭觉、视觉和本体觉对平衡的协调控制能力,促进前庭代偿,从而减轻或消除患者的头晕、眩晕和不稳症状。随着眩晕/前庭医学的快速发展,VRT已逐渐发展为基于循证医学的更为个体化和精准化的治疗手段,其临床疗效也在越来越多的研究中得到证实。在多学科专家的参与下,本文围绕前庭康复的治疗前评估、治疗方案的制定/实施、常见眩晕/前庭疾病基于循证医学的治疗建议达成共识,并对前庭康复的治疗前景进行展望,旨在进一步规范、补充及更新针对不同眩晕/前庭疾病的VRT方案,以期为临床提供符合我国国情、实操性强且更为详细的VRT指导,同时为国内未来前庭康复的高质量临床研究提供新的思路和参考。Vestibular rehabilitation therapy(VRT)is a highly effective treatment approach for addressing both peripheral and central vestibular disorders,offering the ability to significantly improve patients′coordination and control across the vestibular,visual,and proprioceptive systems,all of which are crucial factors in maintaining balance.By promoting vestibular compensation,VRT has been shown to mitigate or even eliminate symptoms of dizziness,vertigo,and instability.With the rapid development of vestibular research,VRT has evolved into a more individualized and precise treatment approach based on evidence-based medicine.Its clinical effectiveness has been increasingly validated in numerous studies.With the involvement of multidisciplinary experts,this article aims to reach a consensus on the pre-treatment evaluation,formulation/implementation of treatment plans,and evidence-based treatment recommendations for common vestibular disorders,focusing on the prospects of vestibular rehabilitation.The goal is to further standardize and update VRT protocols for different vestibular disorders,providing comprehensive and context-specific guidance primarily tailored to the Chinese healthcare landscape,with a notable emphasis on its clinical applicability.Concurrently,it aspires to present new insights and serve as a valuable reference point for forthcoming high-quality clinical research on vestibular rehabilitation in China.

关 键 词：眩晕 头晕 评估 前庭康复 个体化 

分 类 号：R764[医药卫生—耳鼻咽喉科]