老年良性阵发性位置性眩晕社区前庭康复的探讨  

Discussion on Community Vestibular Rehabilitation of Benign Paroxysmal Positional Vertigo in the Elderly

作　　者：刘艳丽 宋海涛[2] 彭好[2] 高波[2] 李冬梅 王瑜 李勇[1] 夏琳 LIU Yanli;SONG Haitao;PENG Hao;GAO Bo;LI Dongmei;WANG Yu;LI Yong;XIA Lin(Department of Otolaryngology,Tieying Hospital,Fengtai District,Beijing,100078 China;Department of Otolar-yngology,Head and Neck,Beijing Hospital,Beijing,100730 China)

机构地区：[1]北京市丰台区铁营医院耳鼻咽喉科,北京100078 [2]北京医院耳鼻咽喉头颈外科,北京100730

出　　处：《系统医学》2022年第11期39-42,共4页Systems Medicine

基　　金：北京市丰台区卫生系统科研项目(NO.2017-42)。

摘　　要：目的前庭康复练习在老年良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)远期治疗中的疗效研究。方法选取2013年1月-2015年3月铁营医院和北京医院耳鼻喉科门诊就诊的老年BPPV患者124例(多管或单管多次复位),分为对照组(n=42)和研究组(n=82)。对照组为未坚持前庭康复练习,研究组为坚持前庭康复练习5年以上。比较分析两组的远期疗效、慢性头晕、复发、跌倒、焦虑状态的情况。结果康复训练5年后,研究组患者慢性头晕(12.20%)、耳石症复发(23.17%)以及焦虑抑郁状态(3.66%)优于对照组,差异有统计学意义(χ^(2)=38.774、5.142、38.213,P<0.05);A组患者的耳石症复发(15.71%)显著低于B组,D组患者的耳石症复发(3.33%)显著低于C组,差异有统计学意义(χ^(2)=12.214、10.458,P<0.05)。结论前庭康复练习有助于提高老年良性阵发性位置性眩晕患者的远期疗效。Objective To observe the curative effect of vestibular rehabilitation exercises in the long-term treatment of benign paroxysmal positional vertigo(BPPV)in the elderly.Methods From January 2013 to March 2015,124 el⁃derly patients with BPPV(multiple or single tube multiple reduction)were selected from the otolaryngology outpa⁃tient department of Tieying Hospital and Beijing Hospital.And they were selected and divided into control group(n=42)and research group(n=82),the control group did not adhere to vestibular rehabilitation practice,and the research group adhered to vestibular rehabilitation practice for more than 5 years,the long-term efficacy,chronic dizziness,recurrence,and fall,state of anxiety of the two groups were compared and analyzed.Results After 5 years of rehabili⁃tation training,the patients in the research group had better chronic dizziness(12.20%),otolithiasis recurrence(23.17%)and anxiety and depression(3.66%)than the control group,and the differences were statistically significant(χ^(2)=38.774,5.142,38.213,P<0.05).The incidence of otolithiasis recurrence(15.71%)in group A was significantly lower than that in group B,and the incidence of otolithiasis recurrence in group D(3.33%)was significantly lower than that in group C,the difference was statistically significant(χ^(2)=12.214,10.458,P<0.05).Conclusion Vestibular rehabilitation exercises can help improve the long-term efficacy of elderly patients with benign paroxysmal positional vertigo.

关 键 词：老年患者 良性 阵发性 位置性眩晕 前庭康复练习 

分 类 号：R441.2[医药卫生—诊断学]