药物联合前庭康复训练及认知行为疗法治疗慢性主观性头晕伴发焦虑的临床疗效  

Clinical Effect of Drug Therapy Combined with Vestibular Rehabilitation Exercise and Cognitive Behavior Therapy in Treating Chronic Subjective Dizziness Patients Complicated with Anxiety

作　　者：齐冬[1] 杨佳[1] 陈葵[1] QI Dong;YANG Jia;CHEN Kui(Department of Neurology,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院神经内科,北京市100050

出　　处：《实用心脑肺血管病杂志》2018年第6期89-92,共4页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的观察药物联合前庭康复训练及认知行为疗法治疗慢性主观性头晕(CSD)伴发焦虑的临床疗效。方法选取2014年8月—2017年1月首都医科大学附属北京友谊医院收治的CSD伴发焦虑患者120例,根据随机抽签原则分为对照组与观察组,每组60例。对照组患者给予常规药物治疗,观察组患者在对照组治疗的基础上给予前庭康复训练及认知行为疗法治疗。比较两组患者临床疗效、治疗前后医院焦虑/抑郁量表的焦虑评分、治疗后简明健康状况调查问卷(SF-36)评分,并观察两组患者治疗期间不良反应发生情况。结果观察组患者临床疗效优于对照组(P<0.05)。治疗前两组患者焦虑评分比较,差异无统计学意义(P>0.05);治疗后观察组患者焦虑评分低于对照组(P<0.05)。治疗后观察组患者生理维度、环境维度、心理维度、社会关系维度评分高于对照组(P<0.05)。两组患者治疗期间均未发生严重不良反应。结论药物联合前庭康复训练及认知行为疗法可有效提高CSD伴发焦虑患者临床疗效,改善患者焦虑情绪,提高患者生活质量,且安全性较高。Objective To observe the clinical effect of drug therapy combined with vestibular rehabilitation exercise and cognitive behavior therapy in treating chronic subjective dizziness(CSD)patients complicated with anxiety.Methods A total of 120 CSD patients complicated with anxiety were selected in Beijing Friendship Hospital Affiliated to Capital Medical University from August 2014 to January 2017,and they were divided into control group and observation group according to random draw principle,each of 60 cases.Patients in control group received conventional medical treatment,while patients in observation group received vestibular rehabilitation exercise and cognitive behavior therapy based on conventional medical treatment.Clinical effect,anxiety score of HAD before and after treatment,and SF-36 score after treatment were compared between the two groups,and incidence of adverse reactions during treatment was observed.Results Clinical effect in observation group was statistically significantly better than that in control group(P<0.05).No statistically significant differences of HAD-a score was found between the two groups before treatment(P>0.05),while anxiety score in observation group was statistically significantly lower than that in control group after treatment(P<0.05).Physiological dimension score,environmental dimension score,psychological dimension score and social relation dimension score in observation group were statistically significantly higher than those in control group after treatment(P<0.05).No one in the two groups occurred any serious adverse reactions during treatment.Conclusion In CSD patients complicated with anxiety,drug therapy combined with vestibular rehabilitation exercise and cognitive behavior therapy can effectively improve the clinical effect and quality of life,relieve the anxiety emotion,with relatively high safety.

关 键 词：头晕 焦虑 前庭康复训练 认知疗法 治疗结果 

分 类 号：R741.041[医药卫生—神经病学与精神病学] R749.72[医药卫生—临床医学]