个性化前庭康复方案对慢性单侧前庭综合征患者的影响  

Effect of Personalized Vestibular Rehabilitation Program on Patients with Chronic Unilateral Vestibular Syndrome

作　　者：李瑾[1] 方慧 梁惠煜 关梦含 周娅婷 吕亚峰[1] Li Jin;Fang Hui;Liang Huiyu(Shandong Provincial ENT Hospital Affiliated to Shandong University,Jinan Shandong 250022,China)

机构地区：[1]山东大学附属山东省耳鼻喉医院,山东济南250022

出　　处：《齐鲁护理杂志》2024年第19期1-5,共5页Journal of Qilu Nursing

基　　金：山东省医药卫生科技发展计划项目(编号:202014051042)。

摘　　要：目的:探讨个性化前庭康复方案对慢性单侧前庭综合征患者的影响。方法:选择2021年11月1日~2022年11月1日就诊的55例慢性前庭综合征患者为研究对象,根据治疗方式不同分为个性化组31例和非个性化组24例,个性化组接受的康复方式为个性化的前庭康复方案,非个性化组接受的康复方式为非个性化的Cawthorne-Coksey康复操;比较两组8周康复治疗后头晕残障(DHI)量表、医院焦虑抑郁量表(HADS)、特异性活动平衡信心(ABC)量表的改善程度。结果:治疗后,个性化组DHI量表得分、HADS中焦虑、抑郁得分均优于基线(P<0.05),焦虑得分在个性化组与非个性化组的差异有统计学意义(P<0.05);治疗后,个性化组的头晕残障改善率高于非个性化组(P<0.05)。结论:个性化前庭康复能在短期8周内可对慢性单侧前庭综合征患者的头晕残障水平、焦虑抑郁有效的改善,是慢性单侧前庭综合征患者改善头晕残障水平、提高患者生活质量的首选治疗方法。Objective:To explore the effect of personalized vestibular rehabilitation program on patients with chronic unilateral vestibular syndrome.Methods:55 patients with chronic vestibular syndrome treated from November 1,2021 to November 1,2022 were selected as the research objects.According to the different treatment methods,they were divided into the personalized group(31 cases)and the non-personalized group(24 cases).The personalized group was provided personalized vestibular rehabilitation program,and non-personalized group received non-personalized Cawthorne-Coksey rehabilitation exercise.The improvement of dizziness disability(DHI),Anxiety and Depression(HADS)and specific activity balance confidence(ABC)were compared between the two groups after 8-week rehabilitation.Results:After treatment,the scores of DHI scale,anxiety and depression scores in HADS in the personalized group were better than those at baseline(P<0.05),and the difference in anxiety score between the personalized group and the non-personalized group was statistically significant(P<0.05).After treatment,the improvement rate of dizziness disability in the personalized group was higher than that in the non-customized group(P<0.05).Conclusion:Personalized vestibular rehabilitation can effectively improve the level of dizziness disability,anxiety and depression in patients with chronic unilateral vestibular syndrome within a short period of 8 weeks.It is the first choice to improve the level of dizziness disability and quality of life of patients with chronic unilateral vestibular syndrome.

关 键 词：慢性前庭综合征 个性化前庭康复 非个性化前庭康复 

分 类 号：R473.5[医药卫生—护理学]