不同前庭康复时机在前庭神经炎急性期的干预疗效分析  

Analysis of the efficacy of different timing of vestibular rehabilitation interventions in the acute phase of vestibular neuritis

作　　者：席恺[1] 姜梦莎 王月辉[1] 李阳阳 李花萍 XI Kai;JIANG Mengsha;WANG Yuehui;LI Yangyang;LI Huaping(Department of Otolaryngology Head and Neck Surgery,the First Affiliated Hospital,and College of Clinical Medicine of Henan University of Science and Technology,Luoyang,471003,China)

机构地区：[1]河南科技大学临床医学院,河南科技大学第一附属医院耳鼻咽喉头颈外科,河南洛阳471003

出　　处：《临床耳鼻咽喉头颈外科杂志》2022年第8期582-587,共6页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的探讨不同的前庭康复治疗时机对前庭神经炎急性期患者的恢复疗效。方法选取2019年12月-2021年7月于门诊及住院接受治疗的前庭神经炎患者31例,随机分为前庭康复组(VRT组)及一般治疗组,其中VRT组按照发病至前庭康复开始的病程分为1周组(11例)和2周组(10例)。比较1周组、2周组及一般治疗组(10例)患者治疗后1个月、3个月的优势偏向(DP)、半规管轻瘫(UW)、前庭眼反射的增益值(VOR)、头晕症状障碍评分(DHI)、Berg平衡量表(BBS)评分及焦虑自评量表(SAS)评分的差异。结果VRT组和一般治疗组的DP值、UW值、VOR增益值、DHI评分及SAS评分差异均有统计学意义(P<0.05),而BBS评分差异无统计学意义(P>0.05)。1周组和2周组两两比较,DP值、VOR增益值和UW值的差异均有统计学意义(P<0.05),DHI评分和SAS评分比较差异无统计学意义(P>0.05)。结论VRT可加速前庭神经炎患者前庭代偿、缓解眩晕症状及焦虑症状,建议1周内开展,疗效更佳。Objective To investigate the impact of time interval from symptoms onset to vestibular rehabilitation on the recovery of patients in the acute phase of vestibular neuritis.Methods Thirty-one patients with vestibular neuritis treated in outpatient and inpatient settings from December 2019 to July 2021 were selected and randomly divided into vestibular rehabilitation group and general treatment group.The vestibular rehabilitation group was subdivided into early-intervention group(1-week after symptom onset)and late-intervention group(2-week after symptom onset)according to the interval from the onset to vestibular rehabilitation.The differences in DP,UW,VOR,DHI,BBS and SAS values at 1 month and 3 months after treatment were compared among early-intervention group(11 cases),late-intervention group(10 cases)and general treatment group(10 cases).Results For patients in the vestibular rehabilitation group and the general treatment group,DP,UW,VOR gain,DHI score and SAS score were significantly different after treatment(P<0.05)and no significant difference was found in BBS score(P>0.05).Pairwise comparisons between early-intervention and late-intervention group showed that the DP,UW and VOR gain were significantly different(P<0.05),while the score of DHI and SAS were not significantly different(P>0.05).Conclusion Vestibular rehabilitation therapy can accelerate vestibular compensation,relieve vertigo symptoms and anxiety symptoms in patients with vestibular neuritis.It is better to be carried out within 1 week after symptom onset.

关 键 词：前庭康复治疗 前庭神经炎 眩晕 

分 类 号：R764[医药卫生—耳鼻咽喉科]