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前庭康复治疗前庭性偏头痛的疗效分析

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目的 评价前庭康复治疗前庭性偏头痛的疗效.方法 选取2021年4月—2023年5月商河县人民医院门诊就诊的42例由耳内前庭功能障碍引发的偏头痛患者为研究对象,以随机数表法分为两组,各21例.对照组给予药物治疗,观察组在对照组的治疗基础上辅助前庭康复治疗,对比两组患者的治疗效果、眩晕症状改善情况和眩晕残障程度.结果 观察组偏头痛患者的康复治疗有效率为95.24%,高于对照组的71.43%,差异有统计学意义(χ2=4.286,P<0.05).治疗后观察组患者眩晕平均发作(3.14±0.28)次,每次持续(4.08±0.28)min,均小于对照组的(4.25±0.65)次和(5.62±0.66)min,差异有统计学意义(P均<0.05).治疗前两组眩晕残障(Dizziness Handicap Inventory,DHI)量表评分较高,差异无统计学意义(P>0.05);治疗后观察组患者的DHI评分低于对照组,差异有统计学意义(P<0.05).结论 前庭康复辅助药物治疗可有效缓解患者的偏头痛症状,促进脑活动恢复,降低其眩晕残障程度,改善患者情感及躯体功能,综合疗效优异.
Analysis of the Efficacy of Vestibular Rehabilitation in the Treatment of Vestibular Migraine
Objective To evaluate the efficacy of vestibular rehabilitation for vestibular migraine.Methods 42 pa-tients with migraine caused by intra-auricular vestibular dysfunction who visited the outpatient department of Shanghe County People's Hospital from April 2021 to May 2023 were selected as the research subjects.They were divided into two groups using a random number table method,with 21 cases in each group.The control group was given medication treatment,while the observation group received vestibular rehabilitation treatment in addition to the treatment in the control group.The treatment effects,improvement of vertigo symptoms,and degree of vertigo disability were compared between the two groups of patients.Results The effective rate of rehabilitation treatment for migraine patients in the observation group was 95.24%,which was higher than 71.43%in the control group,and the difference was statistically significant(χ2=4.286,P<0.05).After treatment,the average number of vertigo attacks of patients in the observation group was(3.14±0.28)times,and the duration of each lasted for(4.08±0.28)min,which was lower than the control group's(4.25±0.65)times and(5.62±0.66)min,and the differences were statistically significant(both P<0.05).The Dizziness Handicap Inventory(DHI)scores were higher in the two groups before treatment,and the difference was not statistically significant(P>0.05).The DHI score of the observation group patients after treatment was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Vestibular rehabilitation as-sisted drug treatment can effectively relieve patients'migraine symptoms,promote the recovery of mixed brain activity,reduce the degree of vertigo disability,improve patients'emotional and somatic functions,and the comprehensive effi-cacy is excellent.

Rehabilitation therapyVestibular migraineTherapeutic effectDegree of vertigo

刘燕平、夏荣梅、卢淑霞

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商河县人民医院神经内科,山东济南 251600

康复治疗 前庭性偏头痛 治疗效果 眩晕程度

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(1)
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