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。
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 rehabilitation(group A,n=51)or treatment with betahistine mesylate tablets alone(group B,n=51).The Dizziness Handicap 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 significantly lower in group A than group B(all P<0.05).The Berg balance scale score was significantly increased after treatment 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.
作者
颜慧蓉
范春燕
周旭游
陈哲萌
YAN Huirong;FAN Chunyan;ZHOU Xuyou(Department of Neurology,The First Hospital of Jiaxing,Jiaxing 314000,China)
出处
《中风与神经疾病杂志》
CAS
2024年第8期745-748,共4页
Journal of Apoplexy and Nervous Diseases
基金
嘉兴市科技计划项目(2022AD30053)。
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
Vestibular vertigo
Vestibular-ocular motor rehabilitation device
Betahistine mesylate tablet
Vestibular function
