Effects of vestibular rehabilitation training combined with anti-anxiety therapy on recurrence,vestibular function,anxiety and depression in patients with benign paroxysmal positional vertigo
Objective To study the clinical effect of vestibular rehabilitation training combined with anti-anxiety thera-py in benign paroxysmal positional vertigo(BPPV)patients.Methods Totally 72 patients with BPPV from November 2021 to March 2023 were divided into routine group and treatment group by double-blind grouping criteria,with 36 pa-tients in each group.The conventional group received conventional vestibular rehabilitation training treatment,while the treatment group received vestibular rehabilitation training combined with anti-anxiety therapy.The clinical effects,anx-iety and depression status were compared between the two groups,and vestibular function and recurrence were assessed.Results The total effective rate of the treatment group was 97.22％,higher than that of the conventional group(80.56％),and the difference was statistically significant(P＜0.05).The scores of anxiety rating Scale(SAS)and Depression Rating Scale(SDS)in the treatment group were(48.67±1.21)and(51.37±1.08),both lower than those before treatment and of the conventional group,and the differences were statistically significant(P＜0.05).Ves-tibular symptom index(VSI)and Vestibular dysfunction Rating Scale of daily activities(VADL)in the treatment group after treatment were(16.49±2.16)and(30.93±3.36)points,both lower than before treatment and routine group,and BBS score was higher than before treatment and routine group,the differences were statistically significant(P＜0.05).The recurrence rate of treatment group(2.78％)was lower than that of conventional group(16.67％),and the difference was statistically significant(P＜0.05).Conclusion Vestibular rehabilitation training combined with anti-anxiety therapy for BPPV patients is effective,can improve the psychological state and vestibular function,control the recurrence rate,and is suitable for further promotion.
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