摘要
目的探讨前庭神经炎患者行甲泼尼龙联合外周性前庭康复训练治疗的应用效果。方法选取2019年4月至2020年4月我院收治的前庭神经元炎患者38例为研究对象,按照随机数字表分组法分为对照组与研究组,每组各19例。两组患者均实施常规治疗,对照组在常规治疗基础上,给予甲泼尼龙治疗,研究组在常规治疗基础上,给予甲泼尼龙治疗联合外周性前庭康复训练,对比研究两组患者治疗前后DHI(眩晕障碍量表)及VADL(前庭功能障碍等级量表)的评分变化。结果①治疗前,研究组与对照组眩晕障碍、前庭功能障碍差异性较小,无统计学意义(P>0.05);②治疗后,两组患者DHI及VADL评分均显著优于治疗前,具有统计学意义(P<0.05);③与对照组相比,研究组DHI及VADL评分更低,具有统计学意义(P<0.05)。结论前庭神经炎患者在治疗过程中实施甲泼尼龙联合外周性前庭康复训练治疗效果显著,患者症状改善更明显,生活质量更高,值得临床推广运用。
Objective To investigate the effect of methylprednisolone combined with peripheral vestibular rehabilitation training in patients with vestibular neuritis.Methods A total of 38 patients with vestibular neuritis admitted to our hospital from April 2019 to April 2020 were selected as the research subjects and divided into control group and research group according to random number table grouping method,with 19 cases in each group.Two groups of patients were implementing routine therapy and control group on the basis of routine treatment,given a prednisolone treatment,the research on the basis of conventional treatment,giving a prednisolone treatment combined peripheral vestibular rehabilitation training,and compared the two groups before and after treatment in patients with DHI(vertigo disorder scale)and VADL(vestibular dysfunction rating scale)score changes.Results①Before treatment,the difference of vertigo disorder and vestibular dysfunction between the study group and the control group was small,without statistical significance(P>0.05);②After treatment,DHI and VADL scores in 2 groups were significantly better than before treatment,with statistical significance(P<0.05);③Compared with the control group,DHI and VADL scores in the study group were lower,which was statistically significant(P<0.05).Conclusion During the treatment of patients with vestibular neuritis,methylprednisolone combined with peripheral vestibular rehabilitation training has a significant effect,the symptoms of patients are improved more obviously,and the quality of life is higher,which is worthy of clinical promotion and application.
作者
成笑清
CHEN Xiao-qing(Department of Rehabilitation,Taishan People’s Hospital,Taishan,Guangdong 529200)
出处
《智慧健康》
2021年第11期129-131,共3页
Smart Healthcare
关键词
前庭神经炎
甲泼尼龙
外周性前庭康复训练
眩晕障碍
生活质量
Vestibular neuritis
Methylprednisolone
Peripheral vestibular rehabilitation training
Vertigo disorder
Quality of life
