摘要
目的探讨前庭康复治疗对后循环脑梗死患者的临床疗效。方法选取2019年12月至2022年7月北京大学首钢医院后循环脑梗死患者52例。随机分为试验组(29例)和对照组(23例),试验组给予脑梗死急性期常规药物+中枢性前庭康复训练,对照组给予脑梗死急性期常规药物+常规运动功能训练,共治疗4周。采用Berg平衡量表(Berg balance scale,BBS)及Tinetti量表评估患者平衡和步态功能,采用眩晕评价量表(dizziness handicap inventory,DHI)评估患者主观症状,采用前庭疾病日常活动量表(vestibular disorders activities of daily living scale,VADL)评估患者日常活动参与能力,采用活动特定的平衡信心量表(activities-specific balance confidence scale,ABC)评估患者保持平衡的信心。比较两组患者平衡和步态功能、日常活动参与能力等临床疗效。结果52例患者中,男42例,女10例,年龄35~89岁,平均(61.5±10.8)岁。两组患者康复治疗后BBS、Tinetti量表及ABC评分均高于治疗前,VADL和DHI评分均低于治疗前;康复治疗后试验组BBS、Tinetti量表及ABC评分高于对照组,VADL和DHI评分均低于对照组,差异均有统计学意义(P<0.05)。结论前庭康复治疗可以改善后循环脑梗死患者的眩晕症状,促进患者静态平衡及动态步态恢复,提高患者日常活动参与能力和平衡信心。
Objective To explore the clinical effect of vestibular rehabilitation on patients with posterior circulation cerebral infarction.Methods A total of 52 patients with posterior circulation cerebral infarction in Peking University Shougang Hospital from December 2019 to July 2022 were selected,and were randomly divided into experimental group(29 cases)and control group(23 cases).The experimental group was given conventional drugs and central vestibular rehabilitation training,while the control group was given conventional drugs and conventional motor function training for four weeks.Berg balance scale(BBS)and Tinetti scale were used to evaluate balance and gait function,dizziness handicap inventory(DHI)was used to evaluate subjective symptoms,vestibular disorders activities of daily living scale(VADL)was used to evaluate the ability to participate in daily activities,and activities-specific balance confidence scale(ABC)was used to evaluate the confidence of patients in maintaining balance.The balance and gait function,daily activity participation ability and other clinical efficacy were compared between the two groups.Results Among the 52 patients,there were 42 males and 10 females,aged from 35 to 89 years,with an average of(61.5±10.8)years.After rehabilitation treatment,the BBS,Tinetti scale and ABC scores of both groups were higher than those before treatment,while VADL and DHI scores were lower than those before treatment.After rehabilitation treatment,the BBS,Tinetti scales and ABC scores in the experimental group were higher than those in the control group,while the VADL and DHI scores were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusions Vestibular rehabilitation therapy can improve vertigo symptoms of patients with posterior circulation cerebral infarction,promote the recovery of patients'static balance and dynamic gait,and improve patients'ability to participate in daily activities and balance confidence.
作者
吴妍
郑美娟
李娜
张荣
范常峰
乔淑冬
Wu Yan;Zheng Meijuan;Li Na;Zhang Rong;Fan Changfeng;Qiao Shudong(Department of Neurology,Peking University Shougang Hospital,Beijing 100144,China)
出处
《北京医学》
CAS
2024年第4期292-296,共5页
Beijing Medical Journal
关键词
前庭康复
后循环脑梗死
临床疗效
眩晕
平衡
vestibular rehabilitation
posterior circulation cerebral infarction
clinical effect
vertigo
balance
