全科医学临床与教育2024,Vol.22Issue(2) :111-116.DOI:10.13558/j.cnki.issn1672-3686.2024.002.005

前庭康复对缓解创伤性颅脑损伤患者眩晕效果的meta分析

Effect of vestibular rehabilitation on relieving vertigo in patients with traumatic brain injury:A meta-analysis

陈美琴 陈子雯
全科医学临床与教育2024,Vol.22Issue(2) :111-116.DOI:10.13558/j.cnki.issn1672-3686.2024.002.005

前庭康复对缓解创伤性颅脑损伤患者眩晕效果的meta分析

Effect of vestibular rehabilitation on relieving vertigo in patients with traumatic brain injury:A meta-analysis

陈美琴 1陈子雯2
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作者信息

  • 1. 313000 浙江湖州,湖州市中心医院神经外科
  • 2. 浙江大学医学院附属第四医院神经外科
  • 折叠

摘要

目的 探讨前庭康复是否有助于缓解创伤性颅脑损伤(TBI)患者眩晕症状.方法 计算机检索国内外数据库有关TBI患者使用前庭康复的随机对照研究,检索时限为建库至2023年6 月1日,采用Revman 5.3软件进行统计分析.结果 共纳入7项研究,共计330名TBI患者.Meta分析结果显示,对TBI患者进行前庭康复有助于缓解眩晕症状[MD=-3.79,95%CI-5.13,-2.45,P<0.05]和焦虑抑郁情绪[MD=-0.76,95%CI(-1.34,-0.17),P<0.05],能改善其平衡功能[SMD=-0.59,95%CI(-0.94,-0.23),P<0.05]和前庭功能[MD=-3.36,95%CI(-6.38,-0.35),P<0.05],并对缓解轻度TBI患者脑震荡后症状也有一定效果[SMD=-0.55,95%CI(-0.89,-0.21),P<0.05].结论 前庭康复能缓解TBI患者眩晕症状和焦虑抑郁情绪,可改善平衡功能和前庭功能,并可缓解轻度TBI患者脑震荡后症状,日后可将前庭康复加入到颅脑损伤患者康复方案中.

Abstract

Objective To investigate whether vestibular rehabilitation can alleviate vertigo symptoms in patients with traumatic brain injury.Methods Randomized controlled studies on vestibular rehabilitation in patients with traumatic brain injury were searched by computer from domestic and foreign databases until June 1,2023,and statistical analysis was performed by Revman 5.3 software.Results A total of 330 patients with traumatic brain injury were included in 7 studies.The results of meta-analysis showed that vestibular rehabilitation in patients with traumatic brain injury was helpful to alleviate vertigo symptoms[MD=-3.79,95%CI(-5.13,-2.45),P<0.05]and anxiety and depression[MD=-0.76,95%CI(-1.34,-0.17),P<0.05],improve the balance function[SMD=-0.59,95%CI(-0.94,-0.23),P<0.05]and vestibular function[MD=-3.36,95%CI(-6.38,-0.35),P<0.05].It was also effective in relieving post-concussion symptoms in patients with mild traumatic brain injury[SMD=-0.55,95%CI(-0.89,-0.21),P<0.05].Conclusion Vestibular rehabilitation can relieve vertigo,anxiety and depression in patients with traumatic brain injury,improve bal-ance function and vestibular function,and relieve post-concussion symptoms in patients with mild traumatic brain inju-ry.Vestibular rehabilitation can be added to the rehabilitation program of patients with traumatic brain injury in the fu-ture.

关键词

创伤性颅脑损伤/前庭康复/眩晕/平衡功能/meta分析

Key words

traumatic brain injury/vestibular rehabilitation/vertigo/balance function/meta-analysis

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基金项目

浙江省医药卫生科技计划项目(2023KY1177)

出版年

2024
全科医学临床与教育
浙江大学

全科医学临床与教育

影响因子:0.63
ISSN:1672-3686
参考文献量22
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