前庭康复训练对良性阵发性位置性眩晕复位后残余症状的疗效分析  

Curative effect analysis of the vestibular rehabilitation training on residual dizziness after successful canalith repositioning maneuvers in patients with benign paroxysmal positional vertigo

作　　者：孙利兵[1] 郑智英[2] 王斌全[2] 于文永[2] 杨捷[2] 郭文俊[1] 任鸿杰[2] 

机构地区：[1]山西医科大学护理学院,太原030001 [2]山西医科大学第一医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第12期897-900,905,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨良性阵发性位置性眩晕(BPPV)患者成功手法复位后行康复训练对残余症状及生活质量的影响。方法:选取成功手法复位后的BPPV残余患者98例,随机分为3组:A组32例为对照组,不予任何处置;B组33例,指导患者进行家庭自主康复训练;C组33例,指导患者行Brandt-Daroff习服训练。采用眩晕残障量表(DHI)和残余症状持续时间进行评估。结果:前庭康复训练1周后,B、C组DHI分值均下降,差异无统计学意义(P>0.05),B、C组DHI分值分别与A组比较,均差异有统计学意义(P<0.01);康复训练4周后,B、C组DHI分值较A组均下降,B组下降较C组明显,均差异有统计学意义(P<0.01)。残余症状持续时间比较,B组与C组差异无统计学意义(P>0.05),B、C组均低于A组(P<0.05)。结论:BPPV患者成功复位后适量的康复练习有助于促进前庭中枢的代偿,改善残余症状,提高患者的生活质量,可作为耳石症患者复位后残余症状的辅助治疗措施。Objective：To explore the curative effect and quality life of the vestibular rehabilitation training on residual dizziness after successful canalith repositioning maneuvers in patients with benign paroxysmal positional vertigo（BPPV）. Method：Residual dizziness after successful canalith repositioning maneuvers in patients with BPPV were enrolled in our study. They were randomized into three groups, the control group A were no disposition which include 32 patients,the intervention group B were guided to self-rehabilitation training which include 33 pa- tients, the control group C were guided to Brandt-Daroff training which include 33 patients. Dizziness handicap in- ventory（DHI） and residual dizziness duration were used to evaluation the patients. Result：After one week vestibu- lar rehabilitation training, the scores of DHI in group B and C decreased, and there was no significant difference （P〉0.05）, there were significant differences between group B and group C in group A ,respectively（P〈0.01）. After four weeks of vestibular rehabilitation training, the scores of DHI in group B and group C were lower than those in group A, the decrease of group B was significantly higher than that of group C（P〈0. 01）. The residual dizziness duration indicated that no statistical differences in the B, C groups（P〉0.05） and scores of group B,C were significantly lower than group A（P〈0.05）. conclusion： The appropriate vestibular rehabilitation training on residual dizziness after successful canalith repositioning maneuvers in patients with BPPV can help promote the central vestibular compensation, reduce the residual symptoms, improve the quality life of patients,and which can be used as the adjuvant treatment on BPPV patient who has residual dizziness symptoms.

关 键 词：眩晕 前庭康复训练 残余症状 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]