前庭康复训练结合抗焦虑治疗对良性阵发性位置性眩晕患者复发情况、前庭功能及焦虑、抑郁状态的影响  

Effects of vestibular rehabilitation training combined with anti-anxiety therapy on recurrence,vestibular function,anxiety and depression in patients with benign paroxysmal positional vertigo

作　　者：汪艳 张云 刘壮 WANG Yan;ZHANG Yun;LIU Zhuang(Otolaryngology Department;Neurology Department,Yan'an City Hospital of TCM,Yan'an 716000,China)

机构地区：[1]延安市中医医院耳鼻喉科,陕西延安716000 [2]延安市中医医院神经内科,陕西延安716000

出　　处：《临床医学研究与实践》2022年第36期73-76,81,共5页Clinical Research and Practice

基　　金：陕西省自然科学基础研究计划项目(No.S2021-JC-YB-2220)。

摘　　要：目的探讨前庭康复训练结合抗焦虑治疗对良性阵发性位置性眩晕患者复发情况、前庭功能及焦虑、抑郁状态的影响。方法选取2019年6月至2021年6月我院收治的108例良性阵发性位置性眩晕患者作为研究对象,将其随机分为对照组和观察组,各54例。对照组采取复位+前庭康复训练治疗,观察组采取复位+前庭康复训练+抗焦虑治疗。比较两组的临床效果。结果治疗后,观察组的治疗总有效率为94.44%,显著高于对照组的79.63%,差异具有统计学意义(P<0.05);随访3个月后,观察组的复发率为3.70%,低于对照组的16.67%,差异具有统计学意义(P<0.05)。治疗后,两组的冷热试验异常率、视频头脉冲试验异常率、自发性眼震角度、半规管轻瘫值均低于治疗前,且观察组低于对照组,差异具有统计学意义(P<0.05)。治疗后,两组的前庭症状指数(VSI)、日常活动前庭功能障碍等级量表(VADL)、眩晕残障程度评定表(DHI)评分均低于治疗前,Berg平衡量表(BBS)评分高于治疗前,且观察组优于对照组,差异具有统计学意义(P<0.05)。治疗后,两组的焦虑量表(HADS-A)、抑郁量表(HADS-D)评分低于治疗前,且观察组低于对照组,差异具有统计学意义(P<0.05)。结论前庭康复训练结合抗焦虑治疗对良性阵发性位置性眩晕患者的疗效显著,可降低复发率,缓解眼震及半规管轻瘫状态,改善前庭功能及焦虑、抑郁情况,值得临床应用。Objective To explore the effects of vestibular rehabilitation training combined with anti-anxiety therapy on recurrence,vestibular function,anxiety and depression in patients with benign paroxysmal positional vertigo.Methods A total of 108 patients with benign paroxysmal positional vertigo admitted in our hospital from June 2019 to June 2021 were selected as the research objects and randomly divided into control group and observation group,with 54 cases in each group.The control group was treated with reduction+vestibular rehabilitation training,and the observation group was treated with reduction+vestibular rehabilitation training+anti-anxiety therapy.The clinical effects of the two groups were compared.Results After treatment,the total effective rate of treatment in the observation group was 94.44%,which was significantly higher than 79.63%in the control group,and the difference was statistically significant(P<0.05);after 3 months of follow-up,the recurrence rate in the observation group was 3.70%,which was lower than 16.67%in the control group,and the difference was statistically significant(P<0.05).After treatment,the abnormal rate of cold and hot test,abnormal rate of video head pulse test,spontaneous nystagmus angle and semicircular canal palsy in both groups were lower than those before treatment,those in the observation group were lower than the control group,and the differences were statistically significant(P<0.05).After treatment,the scores of Vestibular Symptom Index(VSI),Vestibular Disorders Activities of Daily Living Scale(VADL)and Dizziness Handicap Inventory(DHI)in both groups were lower than those before treatment,the Berg Balance Scale(BBS)score was higher than that before treatment,those in the observation group were better than the control group,and the differences were statistically significant(P<0.05).After treatment,the Hospital Anxiety and Depression Scale-Anxiety(HADS-A)and HADS-Depression(HADS-D)scores of the two groups were lower than those before treatment,those of the observation grou

关 键 词：良性阵发性位置性眩晕 前庭康复训练 抗焦虑治疗 前庭功能 

分 类 号：R764[医药卫生—耳鼻咽喉科]