改良Cawthorne-Cooksey前庭康复训练对缺血性脑卒中后眩晕患者症状改善及肢体平衡的影响  

Effects of modified Cawthorne-Cooksey vestibular rehabilitation training on symptom improvement and limb balance in patients with vertigo after cerebral ischemic stroke

作　　者：张唯聪 刘小倩 郭兰凯 ZHANG Weicong;LIU Xiaoqian;GUO Lankai(Department of Neurology,Zhoushan Branch,Shanghai Ruijin Hospital,Zhoushan 316000,Zhejiang,China)

机构地区：[1]上海瑞金医院舟山分院神经内科,浙江舟山316000

出　　处：《中国现代医生》2024年第7期42-45,共4页China Modern Doctor

摘　　要：目的探讨改良Cawthorne-Cooksey前庭康复训练对缺血性脑卒中后眩晕患者症状改善及肢体平衡的影响。方法选取2021年1月至2022年12月上海瑞金医院舟山分院收治的114例缺血性脑卒中后眩晕患者,根据随机数字表法将其分为对照组和研究组,每组各57例。对照组患者采用常规康复训练进行治疗,研究组患者在对照组的基础上进行改良Cawthorne-Cooksey前庭康复训练,比较两组患者的临床疗效及肢体平衡能力。结果研究组患者的总有效率显著高于对照组(χ^(2)=4.222,P=0.040)。治疗后,两组患者的眩晕残障程度评定量表(dizziness handicap inventory,DHI)评分、睁眼/闭眼轨迹长度、轨迹面积均显著小于本组治疗前,Berg平衡量表(Berg balance scale,BBS)评分、Barthel指数(Barthel index,BI)评分均显著高于本组治疗前(P<0.05),且研究组患者的DHI评分、睁眼/闭眼轨迹长度、轨迹面积均显著小于对照组,BBS评分、BI评分均显著高于对照组(P<0.05)。结论改良Cawthorne-Cooksey前庭康复训练对缺血性脑卒中后眩晕患者的效果确切,可改善患者的临床症状、肢体平衡能力及日常生活能力,值得临床推广应用。Objective To explore effects of modified Cawthorne-Cooksey vestibular rehabilitation training on symptom improvement and limb balance in patients with vertigo after cerebral ischemic stroke.Methods A total of 114 patients with vertigo after cerebral ischemic stroke admitted to Zhoushan Branch,Shanghai Ruijin Hospital from January 2021 to December 2022 were selected and divided into control group and study group according to random number table method,with 57 cases in each group.Patients in control group were treated with routine rehabilitation training,and patients in study group were treated with modified Cawthorne-Cooksey vestibular rehabilitation training on the basis control group.The clinical efficacy and limb balance ability of two groups were compared.Results The total effective rate in study group was significantly higher than that in control group(χ^(2)=4.222,P=0.040).After treatment,the score of dizziness handicap inventory(DHI),eye opening/eye closing trajectory length and trajectory area in both groups were significantly lower than before treatment,the scores of Berg balance scale(BBS)and Barthel index(BI)were significantly higher than those before treatment(P<0.05).DHI score,eye opening/eye closing trajectory length and trajectory area of study group were significantly lower than those of control group,and BBS score and BI score were significantly higher than those of control group(P<0.05).Conclusion Modified Cawthorne-Cooksey vestibular rehabilitation training has a definite effect on patients with vertigo after cerebral ischemic stroke,and can improve their clinical symptoms,limb balance ability,and daily living ability,which is worthy of clinical application.

关 键 词：Cawthorne-Cooksey前庭康复训练 缺血性脑卒中 眩晕 肢体平衡 

分 类 号：R743[医药卫生—神经病学与精神病学]