前庭康复联合生物反馈-认知行为训练治疗慢性主观性头晕的效果观察  

Effect of Biofeedback-cognitive Behavior Training and Vestibular Rehabilitation on Patients with Chronic Subjective Dizziness

作　　者：孙海清[1] 姚俊秀[1] 杨雪[1] 李龙心[1] 林雪 谢芳 张汝[1] Sun Haiqing, Yao Junxiu, Yang Xue, Li Longxin, Lin Xue, Xie Fang, Zhang Ru(, Section 3, Cader＇s Ward, Chengdu Military General Hospital, Chengdu, Sichuan Province, P. R. China)

机构地区：[1]成都军区总医院干部病房三病区,四川成都610083

出　　处：《西南军医》2018年第5期511-513,共3页Journal of Military Surgeon in Southwest China

摘　　要：目的观察前庭康复联合生物反馈-认知行为训练治疗慢性主观性头晕的效果。方法 62例慢性主观性头晕患者随机分为两组:联合组和常规组,每组各31例。常规组患者接受生物反馈-认知行为训练,联合组患者在接受生物反馈-认知行为训练的基础上,添加前庭康复训练治疗。对比分析治疗前后患者头晕发作持续时间及发作频次,以及两组治疗总有效率、症状消失时间和住院时间。结果联合组治疗总有效率高于常规组(P<0. 05),且症状消失时间、住院时间均短于常规组(P<0. 05);治疗前两组患者头晕发作持续时间、发作频次无显著差异(P>0. 05),治疗后联合组患者头晕发作持续时间较常规组短,且发作频次低于常规组(P <0. 05)。结论采用前庭康复训练联合生物反馈-认知行为治疗慢性主观性头晕,能明显改善临床症状,缩短头晕发作持续时间,降低发作频率,效果确切,值得临床推广。Objective To observe the effect of biofeedback-cognitive behavior training and vestibular rehabilitation on patients with chronic subjective dizziness（ CSD）. Methods 62 cases with CSD were randomly divided into 2 groups： combined group and routine group,31 in each; biofeedback-cognitive behavior training was performed on cases in both groups while vestibular rehabilitation was added to cases in combined group; the attack duration of dizziness and the onset frequency of the cases in both groups before treatment were compared with those after treatment while the total effective rate,symptom disappearance time and hospitalization duration in combined group was compared with those in routine group. Results The total effective rate was higher and the symptome disappearance time and hospitalization duration were shorter in combined group than those in routine group（ P〈0. 05）; there existed no obvious difference in attack duration of diziness,the onset frequency between the 2 groups before treatment（ P〉0. 05） while after treatment,the attack duration of diziness was shorter and the onset frequency was lower in combined group than in routine group（ P〈0. 05）. Conclusions It can obviously improve the clinical symptoms,shorten the attack duration of dizziness and reduce the onset frequency to apply biofeedback-cognitive behavior training combined with vestibular rehabilitation to patients with CSD,which is of definite effect and worthy of wider clinical application.

关 键 词：生物反馈-认知行为 前庭康复训练 慢性主观性头晕 疗效 

分 类 号：R741[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]