改良Cawthorne-Cooksey前庭康复训练在眩晕患者中的应用  

Application of Modified Cawthorne-Cooksey Training in Vestibular Rehabilitation of Patients with Vertigo

作　　者：崔江萍 葛文杰 刘曼曼 罗彬[1] CUI Jiangping;GE Wenjie;LIU Manman;LUO Bin(Department of Neurology ,The first affiliated hospital of University of Science and Technology of China,Hefei 230001,Anhui Province,China;Department of Nursing,The first affiliated hospital of University of Science and Technology of China;Department of Otolaryngology & Head and Neck Surgery,The first affiliated hospital of University of Science and Technology of China)

机构地区：[1]中国科学技术大学附属第一医院神经内科,安徽合肥230001 [2]中国科学技术大学附属第一医院护理部 [3]中国科学技术大学附属第一医院耳鼻咽喉头颈外科

出　　处：《解放军护理杂志》2021年第8期16-19,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：中国科学技术大学第一附属医院暨安徽省立医院三新项目(2020-1-250)。

摘　　要：目的观察分析改良Cawthorne-Cooksey前庭康复训练在眩晕患者康复护理中的应用效果。方法2019年1月至2021年1月,方便抽样法选取合肥市某三级甲等医院耳鼻喉科住院的110例眩晕的患者为研究对象,随机分为对照组56例和观察组54例。对照组患者在接受药物治疗以及常规护理;观察组在对照组的基础上,医护合作共同指导患者进行为期4周的改良Cawthorne-Cooksey前庭功能训练。比较干预前后两组患者改良的Barthel指数(modified Barthel index,MBI)、眩晕残障量表(Dizziness handicap inventory,DHI)及Tinetti平衡与步态量表(Tinetti performance oriented mobility assessment,Tinetti POMA)的评分。结果两组的DHI评分较干预前均下降,但观察组较对照组下降更加明显,差异有统计学意义(P<0.05);两组的POMA和Barthel评分较干预前均提高,但观察组较对照组提高更加明显,差异有统计学意义(P<0.05)。结论对眩晕患者实施改良Cawthorne-Cooksey前庭功能训练,可明显改善患者眩晕症状,加快肢体平衡功能恢复,提高日常生活功能指数,建议临床进一步推广使用。Objective To observe and analyze the effects of modified Cawthorne-Cooksey training in vestibular rehabilitation of patients with vertigo.Methods From January 2019 to January 2021,a total of 110 patients admitted to a tertiary otolaryngology hospital in Anhui Province were selected by the convenience sampling method and randomly divided into the experimental group(n=54)and the control group(n=56).The patients in the control group received medication and routine nursing care.Apart from the regular medication and nursing care,the patients in the experiment group were instructed to take part in the modified Cawthorne-Cooksey vestibular function training for 4 weeks.The DHI score,POMA score and Barthel score of the two groups were compared before and after the 4-week intervention.Results The DHI score in both groups decreased after the treatment,with the score in the experimental group noticeably lesser than that in the control group(P<0.05).In the meantime,POMA score and Barthel score in both groups increased after the treatment,but more so in the study group than the control group(P<0.05)and the differences were of statistically significance.Both the POMA and Barthel scores of the two groups were improved after the intervention while the improvement in the experimental group was more obvious than that in the control group,and the difference were of statistically significance(P<0.05).Conclusions Modified Cawthorne-Cooksey vestibular training can significantly improve the symptoms of vertigo,accelerate the recovery of gait balance,and improve the daily life activities.It is recommended to be further applied in clinical practice.

关 键 词：前庭康复 眩晕 平衡 

分 类 号：R473.76[医药卫生—护理学]