前庭眼动康复仪治疗前庭性眩晕患者的临床疗效观察
Clinical effectiveness of vestibular-ocular motor rehabilitation in patients with vestibular vertigo
颜慧蓉 1范春燕 1周旭游 1陈哲萌1
作者信息
- 1. 嘉兴市第一医院神经内科,浙江 嘉兴 314000
- 折叠
摘要
目的 探讨前庭眼动康复仪对前庭性眩晕的临床效果.方法 选取2021年9月—2023年2月嘉兴市第一医院就诊的前庭性眩晕患者102例,分为A组和B组,各51例.B组给予甲磺酸倍他司汀片治疗,A组在B组的基础上给予前庭眼动康复仪治疗.采用t检验和卡方检验比较两组眩晕残障程度评定量表(DHI)评分、Berg平衡量表评分、起立行走时间、临床疗效、眼动功能异常、前庭功能异常情况.结果 A组总有效率(95.83%)明显高于B组(81.23%)(P<0.05),治疗后两组DHI评分、起立行走时间、眼动功能异常率、前庭功能异常率均降低,且治疗后A 组较B组降低(P<0.05),治疗后两组Berg平衡量表评分均升高,且治疗后A组较B组提高(P<0.05).结论 前庭眼动康复仪治疗前庭性眩晕可有效缓解眩晕症状,改善前庭功能,增强平衡和步行能力.
Abstract
Objective To investigate the clinical effectiveness of a vestibular-ocular motor rehabilitation device for vestibular vertigo.Methods A total of 102 patients with vestibular vertigo visiting our hospital from September 2021 to February 2023 were assigned to receive either treatment with betahistine mesylate tablets and vestibular-ocular motor reha-bilitation(group A,n=51)or treatment with betahistine mesylate tablets alone(group B,n=51).The Dizziness Handi-cap Inventory(DHI)score,Berg balance scale score,time consumed in the rising-walking test,clinical response,ocular motor abnormalities,and vestibular abnormalities were compared between the two groups using the t test and chi-square test.Results The overall response rate was significantly higher in group A than in group B(95.83%vs.81.23%,P<0.05).After treatment,both groups showed significant reductions in the DHI score,time consumed in the rising-walking test,the rate of ocular motor abnormalities,and the rate of vestibular abnormalities;and these indicators were signifi-cantly lower in group A than group B(all P<0.05).The Berg balance scale score was significantly increased after treat-ment in both groups,with a significantly higher score in group A than in group B(both P<0.05).Conclusion The vestibular-ocular motor rehabilitation device can relieve vertigo symptoms,improve vestibular function,and strengthen balance and walking abilities in patients with vestibular vertigo.
关键词
前庭性眩晕/前庭眼动康复仪/甲磺酸倍他司汀片/前庭功能Key words
Vestibular vertigo/Vestibular-ocular motor rehabilitation device/Betahistine mesylate tablet/Vestibular function引用本文复制引用
基金项目
嘉兴市科技计划项目(2022AD30053)
出版年
2024
国家科技期刊平台
NSTL
万方数据