前庭康复机制及治疗的研究进展  

Research Advances in Vestibular Rehabilitation Mechanism and Treatment

作　　者：祁晓媛 宋宁 顾平[3] 杨旭 QI Xiaoyuan;SONG Ning;GU Ping;YANG Xu(Department of Neurology,Aerospace Center Hospital(Peking University Aerospace School of Clinical Medicine),Beijing 100049,China;Department of Neurology,Cangzhou Center Hospital,Cangzhou 061000,China;Department Neurology,the First Hospital of Hebei Medical University,Shijiazhuang 050030,China)

机构地区：[1]航天中心医院北京大学航天临床医学院神经内科,北京市100049 [2]河北省沧州市中心医院神经内科,061000 [3]河北医科大学第一医院神经内科,河北省石家庄市050030

出　　处：《中国全科医学》2022年第11期1399-1405,共7页Chinese General Practice

基　　金：北京市自然科学基金资助项目(7222237);航天中心医院(北京大学航天临床医学院)院级课题资助项目(YN201802)。

摘　　要：近年来,前庭疾病的临床诊治水平快速提高,尤其是前庭评价技术和新的前庭康复技术的发展,极大地推动了外周及中枢前庭疾病康复的个体化、精准化的发展。前庭康复训练可通过纠正不恰当的代偿策略和/或加速良好代偿的过程,有效地提高患者的前庭觉、视觉和本体觉对平衡的协调控制能力,改善中枢神经系统的代偿功能,从而减轻或消除患者的头晕、眩晕和不稳症状,最终达到前庭康复状态。在此背景下,本文就前庭康复机制、康复前评估、方案制定及治疗进展等进行综述,以期为国内前庭康复的临床应用及研究提供重要参考。Recent years have seen rapid advances in clinical diagnosis and treatment of vestibular diseases,especially vestibular evaluation and rehabilitation technologies,greatly promoting the developments in individualization and precision of rehabilitation for peripheral and central vestibular diseases.The vestibular rehabilitation helps to correct inappropriate strategy of equilibrium and/or to accelerate a good but slow compensation phenomenon,effectively improve vestibular,visual,and proprioceptive inputs to balance coordination control ability,improve the compensatory function of central nervous system,so as to reduce or eliminate the symptoms of dizziness,vertigo,and balance instability,eventually restoring the normal vestibular status.Given this background,we reviewed the advances in mechanisms of rehabilitation,pre-rehabilitation evaluation,rehabilitation program formulation and treatment regarding vestibular diseases,offering insights into clinical implementation and research concerning vestibular rehabilitation in China.

关 键 词：前庭疾病 神经康复 修复 适应 生理学 习服 作用机制 综述 

分 类 号：R764.34[医药卫生—耳鼻咽喉科] R493[医药卫生—临床医学]