前庭康复对前庭神经炎患者平衡功能恢复的作用  

Effect of vestibular rehabilitation on the recovery of vestibular neuritis

作　　者：严小艳[1] 王凯[1] 陈丰[1] 汪敏[1] 

机构地区：[1]中国人民解放军305医院神经内科,北京100017

出　　处：《北京医学》2017年第8期774-776,共3页Beijing Medical Journal

基　　金：基金项目:首都特色应用研究与成果推广(Z171100001017175)

摘　　要：目的探讨前庭康复对前庭神经炎前庭功能恢复的作用。方法将研究对象分为行前庭康复试验组和未行前庭康复对照组,每组25例,比较两组患者的眩晕症状消失时间、眩晕残障程度(DHI)和日常活动前庭功能障碍等级(VADL)量表评分。结果试验组患者头晕症状消失时间为(3.24±1.51)周,对照组为(4.84±1.62)周,差异有统计学意义(P<0.01)。治疗后4周,试验组和对照组的DHI评分分别为(2.3±0.8)分和(26.9±7.6)分,差异有统计学意义(P<0.01);两组VADL评分分别为(0.2±0.1)分和(9.8±2.3)分,其差异亦有统计学意义(P<0.01)。结论前庭康复能缩短病程,改善动态前庭功能障碍,提高了生活质量。Objective To investigate the effect of vestibular rehabilitation on the recovery of vestibular neuritis. Methods Fifty-eight patients with vestibular neuritis were divided into vestibular rehabilitation group and control group, 25 cases in each group. The time required for resolution of vertigo symptom and scores Dizziness Handicap Inventory （DHI） and Vestibular Disorders Activities of Daily Living Scale （VADL） after treatment were compared between the two groups. Results The time required for resolution of vertigo symptom in the vestibular rehabilitation group （3.24± 1.51 weeks） was significantly less than that in the control group （4.84±1.62 weeks）, P 〈 0.01. There were significant differences in mean VADL scores （0.2±0.1 vs. 9.8±2.3, P 〈 0.01） and mean DHI scores （2.3±0.8 vs. 26.9±7.6, P 〈 0.01） between the vestibular rehabilitation group and the control group after treatments（P 〈 0.01 ）. Conclusion In patients with vestibular neuritis, vestibular rehabilitation can significantly shorten disease course, improve dynamical vestibular function, and enhance the quality of life.

关 键 词：前庭神经炎 前庭康复 量表 

分 类 号：R764[医药卫生—耳鼻咽喉科]