摘要
目的 研究良性阵发性位置性眩晕(benign paroxysmal positional vertigo, BPPV)患者联合采用前庭康复训练和抗焦虑治疗的临床效果。方法 通过双盲法分组标准对郑州大学第一附属医院耳科2021年11月—2023年3月72例BPPV患者进行分组,分为常规组和治疗组,每组各36例。常规组予常规前庭康复训练治疗,治疗组予前庭康复训练配合抗焦虑治疗。对两组临床效果、焦虑与抑郁状态进行对比,并评估前庭功能,调查复发情况。结果 治疗组总有效率97.22%,高于常规组的80.56%,差异有统计学意义(P<0.05);治疗组治疗后焦虑评定量表(SAS)及抑郁评定量表(SDS)评分为(48.67±1.21)分和(51.37±1.08)分,均低于治疗前和常规组,差异均有统计学意义(P<0.05);治疗组治疗后前庭症状指数(VSI)及日常活动前庭功能障碍等级量表(VADL)评分为(16.49±2.16)分和(30.93±3.36)分,均低于治疗前和常规组,BBS评分高于治疗前和常规组,差异均有统计学意义(P<0.05);治疗组复发率(2.78%)低于常规组(16.67%),差异有统计学意义(P<0.05)。结论 对BPPV患者采用前庭康复训练配合抗焦虑治疗效果确切,能改善心理状态与前庭功能,控制复发率,适合进一步推广。
Objective To study the clinical effect of vestibular rehabilitation training combined with anti-anxiety therapy in benign paroxysmal positional vertigo(BPPV) patients. Methods Totally 72 patients with BPPV from November 2021 to March 2023 were divided into routine group and treatment group by double-blind grouping criteria, with 36 patients in each group. The conventional group received conventional vestibular rehabilitation training treatment, while the treatment group received vestibular rehabilitation training combined with anti-anxiety therapy. The clinical effects, anxiety and depression status were compared between the two groups, and vestibular function and recurrence were assessed. Results The total effective rate of the treatment group was 97.22%, higher than that of the conventional group(80.56%), and the difference was statistically significant(P<0.05). The scores of anxiety rating Scale(SAS) and Depression Rating Scale(SDS) in the treatment group were(48.67±1.21) and(51.37±1.08), both lower than those before treatment and of the conventional group, and the differences were statistically significant(P<0.05). Vestibular symptom index(VSI) and Vestibular dysfunction Rating Scale of daily activities(VADL) in the treatment group after treatment were(16.49±2.16) and(30.93±3.36) points, both lower than before treatment and routine group, and BBS score was higher than before treatment and routine group, the differences were statistically significant(P<0.05). The recurrence rate of treatment group(2.78%) was lower than that of conventional group(16.67%), and the difference was statistically significant(P<0.05).Conclusion Vestibular rehabilitation training combined with anti-anxiety therapy for BPPV patients is effective, can improve the psychological state and vestibular function, control the recurrence rate, and is suitable for further promotion.
作者
徐静
陈广理
李兴程
XU Jing;CHEN Guang-li;LI Xing-cheng(Department of Otology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《医药论坛杂志》
2024年第3期297-300,共4页
Journal of Medical Forum
关键词
抗焦虑治疗
良性阵发性位置性眩晕
前庭功能
前庭康复训练
Anti-anxiety therapy
Benign paroxysmal positional vertigo
Vestibular function
Vestibular rehabilitation
