个体化前庭康复方案在治疗前庭神经炎中的临床疗效观察  

Clinical efficacy of individualized vestibular rehabilitation in the treatment of vestibular neuritis

作　　者：张秀玲[1] 张丽[1] 陈金湘[1] Zhang Xiuling;Zhang Li;Chen Jinxiang(Department of Otolaryngology Head and Neck Surgery,Jiangyin People's Hospital,Jiangyin 214400,China)

机构地区：[1]江阴市人民医院耳鼻咽喉头颈外科,江苏江阴214400

出　　处：《临床荟萃》2025年第3期227-230,共4页Clinical Focus

基　　金：江阴市卫生健康委面上项目眩晕诊疗仪眼震参数结合otolin-1及维生素D的水平预测BPPV患者治疗效果(M202405)。

摘　　要：目的观察个体化前庭康复方案在治疗前庭神经炎中的临床疗效。方法选取2020年6月-2023年6月就诊于我院门诊的前庭神经炎患者76例,随机分为对照组和试验组,两组均接受常规药物治疗,试验组在药物治疗基础上根据患者体格检查、前庭功能检查及主观量表评分,评估前庭-眼反射通路与前庭脊髓反射通路的受损情况,制定不同的个体化前庭康复方案,经3个月治疗后比较两组各检查指标及临床治疗效果。结果两组各临床指标与治疗前相比均有改善。与对照组相比,试验组Romberg试验阳性率、优势偏向阳性率、视频头脉冲试验异常率较低,头晕症状障碍评分、Berg平衡量表评分改善更好,差异有统计学意义(P<0.05)。试验组与对照组的临床治疗有效率分别为97.37%和81.57%,差异有统计学意义(P<0.05)。前庭脊髓反射通路受损患者经个体化康复方案治疗后试验组有效率高于对照组。结论根据前庭神经炎患者临床检查结果精确地制定个体化的前庭康复方案,对患者的主观评分、症状体征、前庭功能客观指标等的改善均有明显作用和较大优势,值得进一步推广。Objective To investigate the clinical efficacy of individualized vestibular rehabilitation program in the treatment of vestibular neuritis.Methods Seventy-six patients with vestibular neuritis who visited the outpatient department from June 2020 to June 2023 were randomly divided into the control group and experimental group.Routine medication was given to patients of both groups.Based on physical examination,vestibular function examination,and subjective scale scores,the impairment of the vestibulo-ocular reflex(VOR)pathway and vestibular spinal reflex(VSR)pathway were assessed in patients of the experimental group,and thus managed by individualized vestibular rehabilitation plans.After three months of treatment,the various examination indicators and clinical treatment effects of the two groups were compared.Results The clinical indicators of both groups significantly improved compared to before treatment.Compared with those of the control group,patients in the experimental group had significantly better improvements in indicators such as Romberg test(ROM),directional preference(DP),video head impulse test(vHIT)gain,dizziness handicap inventory(DHI),and Berg balance scale(BBS)score(P<0.05).The clinical treatment effective was significantly higher in the experimental group than that of the control group(97.37%vs 81.57%,P<0.05).An individualized rehabilitation treatment provided a superior effective outcome to patients with VSR pathway damage.Conclusion Accurately developing individualized vestibular rehabilitation plans based on clinical examination results of patients with vestibular neuritis has significant effects and advantages in improving subjective scores,symptoms and signs,objective indicators of vestibular function.It is worth further promotion.

关 键 词：前庭神经炎 运动疗法 个体化 

分 类 号：R764.41[医药卫生—耳鼻咽喉科]