前庭电刺激在前庭周围性疾病的临床应用效果分析  

Clinical Application of Vestibular Stimulation for the Peripheral Vestibular Disease

作　　者：周波[1] 杨皖菁[1] 王勇[1] 崔勇[2] 

机构地区：[1]湖北医药学院附属东风医院耳鼻喉科,十堰442000 [2]广东省人民医院,广州510080

出　　处：《医学研究杂志》2015年第11期81-84,共4页Journal of Medical Research

基　　金：广东省医学研究基金资助项目(A2014040)

摘　　要：目的探讨前庭电刺激在前庭周围性疾病的临床应用效果。方法前庭周围性疾病导致头晕患者120例采用抽签法随机分为治疗组与对照组各60例,对照组给予常规药物治疗,治疗组在此基础上给予前庭电刺激治疗,两组分别治疗4周。结果治疗后,治疗组的有效率为96.7%,对照组的有效率为85.0%,治疗组的治疗效果明显比对照组高(P<0.05)。治疗后两组的ABCD2评分都明显降低,与治疗前对比差异有统计学意义(P<0.05),同时治疗后治疗组的ABCD2评分明显低于对照组(P<0.05)。两组治疗后的基底动脉与椎动脉血流速度都明显增加,同时治疗后治疗组的基底动脉与椎动脉血流速度明显高于对照组(P<0.05)。治疗后,两组的扫视速度与延时时长都明显增加(P<0.05),同时,治疗组的扫视速度与延时时长均明显比对照组高(P<0.05)。结论前庭电刺激在前庭周围性疾病导致头晕患者治疗中的应用能有效改善脑血流状况,促进前庭功能的提高,从而使得ABCD2评分有所降低,从而提高预后疗效。Objective To investigate the clinical application of vestibular stimulation for the peripheral vestibular disease. Methods Totally 120 peripheral dizziness patients caused by vestibular disease based on the principle of a random draw were equally into the treatment group and the control group. Those in the control group received conventional therapy, thmd theose in the treatment group re- ceived vestibular stimulation treatment on this basis, for 4 weeks. Results After treatment, the response rates in the treatment group and the control group were 96.7% and 85.0% respectively and the response rate of the treatment group was significantly higher （P 〈 0.05）. After treatment, the ABCD2 scores were significantly lower than1 before treatment and the differences wore significant （P 〈 0.05） , while ABCD2 scores in the treatment group were significantly lower than the control group after treatment （P 〈 0.05）. The hasilar artery and vertebral artery blood flow velocity in the two groups were significantly increased after treatment, while the basilar artery and vertebral ar- tery blood flow velocity in the treatment group were significantly higher than the control group after treatment （ P 〈 0.05 ）. The saceade ve- locity and delay time in the two groups were significantly increased after treatment, while the saceade velocity and delay time in the treat- ment group were significantly higher than the control group after treatment （P 〈 0.05）. Conclusion The vestibular stimulation in dizzi- ness patients caused by peripheral vestibular disease can effectively improve cerebral blood flow, promote the improvement of the vestibular function that maks ABCD2 score decreased, thereby improve the prognosis of efficacy.

关 键 词：前庭电刺激 前庭周围性疾病 头晕 血流速度 ABCD2评分 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]