认知行为疗法对围绝经期良性阵发性位置性眩晕患者生活质量的影响  

Influences of cognitive behavior therapy on the life quality of perimenopause women with benign paroxysmal positional vertigo

作　　者：邢娟丽[1] 康伟[1] 闫小妮[2] 徐宁[1] 张少强[1] Xing Juanli;Kang Wei;Yan Xiaoni;Xu Ning;Zhang Shaoqiang(Department of Otolaryngology Head and Neck Surgery,The First Affiliated Hospital of Xi＇an Jiaotong University,Xi ＇an 710061,China)

机构地区：[1]西安交通大学医学院第一附属医院耳鼻咽喉头颈外科,710061 [2]西安交通大学医学院第一附属医院消化内科,710061

出　　处：《北京医学》2018年第8期766-768,共3页Beijing Medical Journal

摘　　要：目的研究手法复位联合认知行为疗法(cognitive behavioral therapy, CBT)对围绝经期良性阵发性位置性眩晕(benign positional paroxysmal vertigo, BPPV)患者手法复位后生活质量的影响。方法选取2016年3月至2017年3月在西安交通大学医学院第一附属医院耳鼻咽喉头颈外科门诊确诊的围绝经期BPPV患者198例,按就诊顺序随机分为试验组和对照组。试验组100例予以手法复位联合CBT,对照组98例仅接受手法复位治疗。以治疗后1周残余症状发生率和治疗后3个月的眩晕残障量表(dizziness handicap inventory, DHI)评分评价CBT的效果。结果治疗1周后,试验组残余症状发生率明显低于对照组(24.0%vs. 45.9%,P <0.01);治疗后3个月,2组患者DHI评分均明显下降,试验组DHI总得分及情感、功能障碍得分均明显低于对照组相应得分(P <0.01),但2组患者的躯体障碍得分差异无统计学意义(P> 0.05)。结论 CBT可降低围绝经期BPPV患者复位治疗后残余症状的发生率,提高其生活质量。Objective To investigate the influences of cognitive behavior therapy on the life quality of perimeno- pause women with benign positional paroxysmal vertigo （BPPV） after canalith repositioning procedure. Methods A total of 198 perimenopause women with BPPV treated at The First Affiliated Hospital of Xi＇an Jiaotong University between March 2016 and March 2017 was selected, and was randomly divided into experimental group, in which 100 cases were treated with repositioning maneuvers plus cognitive behavior therapy, and control group, in which 98 cases were treated with repositioning maneuvers alone. Incidence of residual symptoms at one week after treatment and dizziness handicap inventory （DHI） score at 3 months after treatment were used to evaluate the treatment effect. Results At one week after treatment, there was significant difference in the incidences of residual symptoms between experimental and control groups （24.0% vs. 45.9%, P 〈 0.01）. At 3 months after treatment, DHI scores including emotional, body and functional dis- order scores were decreased in patients of two groups compared with individual scores before treatment （P 〈 0.01）. And DHI score, emotional and functional disorder scores of experimental group were significantly lower than those of control group （P 〈 0.01）. But there was no significant difference in body disorder scores between two groups. Conclusion Cogni- tive behavior therapy can lower the incidences of residual symptoms after repositioning maneuvers in perimenopause women with BPPV and significantly improve the quality of life in the patients.

关 键 词：认知行为疗法 良性阵发性位置性眩晕 围绝经期 残余症状 生活质量 

分 类 号：R764[医药卫生—耳鼻咽喉科]