首页|前庭康复训练对前庭性偏头痛患者负性情绪和睡眠质量的影响

前庭康复训练对前庭性偏头痛患者负性情绪和睡眠质量的影响

Effect of vestibular rehabilitation training on negative emotions and sleep quality in patients with vestibular migraine

扫码查看
目的 探讨前庭康复训练对前庭性偏头痛(VM)患者负性情绪和睡眠质量的影响.方法 选取2020年1月至2022年12月南昌市第一医院神经内科收治的152例VM患者为观察对象,按照随机数字表法分为对照组、观察组,每组各76例.对照组采用西药治疗+常规护理,观察组加用前庭康复训练.比较两组眩晕残障评定量表(DHI)评分、发作次数、发作时间、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、疼痛视觉模拟评分法(VAS)评分、匹兹堡睡眠质量指数(PSQI)评分、血一氧化氮(NO)、前列腺素E2(PGE2)、超敏C反应蛋白(hs-CRP)水平、干预满意度.结果 干预后,两组患者的DHI评分低于本组干预前,发作次数少于本组干预前,发作时间短于本组干预前,且观察组患者的DHI评分低于对照组,发作次数少于对照组,发作时间短于对照组,差异有统计学意义(P<0.05).干预后,两组患者的HAMA、HAMD评分低于本组干预前,且观察组患者的HAMA、HAMD评分低于对照组,差异有统计学意义(P<0.05).干预后,两组患者的VAS、PSQI评分低于本组干预前,且观察组患者的VAS、PSQI评分低于对照组,差异有统计学意义(P<0.05).干预后,两组患者的NO、PGE2、hs-CRP水平低于本组干预前,且观察组患者的NO、PGE2、hs-CRP水平低于对照组,差异有统计学意义(P<0.05).观察组患者的干预满意度高于对照组,差异有统计学意义(P<0.05).结论 前庭康复训练能缓解VM患者的症状,减少发作次数和发作时间,改善负性情绪和睡眠质量,提高干预满意度,其机制可能与调节NO、PGE2、hs-CRP水平有关.
Objective To explore the effect of vestibular rehabilitation training on negative emotions and sleep quality in patients with vestibular migraine(VM).Methods A total of 152 VM patients admitted to the Department of Neurology,Nan-chang First Hospital from January 2020 to December 2022 were selected as observation objects,and were divided into con-trol group and observation group according to random number table method,with 76 cases in each group.The control group was treated with western medicine+routine nursing,and the observation group was treated with vestibular rehabilitation training in addition.The scores of dizziness handicap inventory(DHI),the number of attacks,the duration of attacks,the score of Hamilton anxiety scale(HAMA),the score of Hamilton depression scale(HAMD),the visual analogue scale(VAS)of pain,the score of Pittsburgh sleep quality index(PSQI),blood nitric oxide(NO),prostaglandin E2(PGE2),high-sensitivity C-reactive protein(hs-CRP)levels and intervention satisfaction of the two groups were compared.Results After the inter-vention,the DHI score of the two groups of patients was lower than before the intervention,the frequency of attacks was less than before the intervention,and the duration of attacks was shorter than before the intervention,and the DHI score of the observation group was lower than the control group,the frequency of attacks was less than the control group,and the duration of attacks was shorter than the control group,the differences were statistically significant(P<0.05).After the intervention,the HAMA and HAMD scores of the two groups were lower than before the intervention,and the HAMA and HAMD scores of the observation group were lower than those of the control group,with statistical significance(P<0.05).After intervention,VAS and PSQI scores of the two groups were lower than before intervention,and VAS and PSQI scores of observa-tion group were lower than control group,the differences were statistically significant(P<0.05).After intervention,the levels of NO,PGE2 and hs-CRP in the two groups were lower than before intervention,and the levels of NO,PGE2 and hs-CRP in observation group were lower than control group,with statistical significance(P<0.05).The intervention satisfaction of observation group was higher than that of control group,the difference was statistically significant(P<0.05).Conclusion Vestibular rehabilitation training can alleviate the symptoms of VM patients,reduce the frequency and duration of seizures,improve negative emotions and sleep quality,and increase in-tervention satisfaction.Its mechanism may be related to regulating the levels of NO,PGE2 and hs-CRP.

Vestibular rehabilitation trainingVestibular migraineNegative emotionsSleep quality

林莉娜、李欢欢、方玲、李梦婷、邓木英、周琪、陈佳丽

展开 >

南昌市第一医院神经内科,江西南昌 330008

前庭康复训练 前庭性偏头痛 负性情绪 睡眠质量

江西省卫生健康委科技项目江西省卫生计生委科技项目

20221159020167032

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(12)
  • 22