沉浸式前庭功能康复训练系统治疗BPPV复位后的残余症状

Curative Effect of the Immersive Vestibular Function Rehabilitation Training System on Residual Symptoms after Successful Canalith Repositioning Maneuvers in Patients of BPPV

舒福;石磊;张琦;冷辉;

1:辽宁中医药大学

2:辽宁中医药大学附属医院耳鼻咽喉科

摘要
目的评估沉浸式前庭功能康复训练系统治疗良性阵发性位置性眩晕(BPPV)复位后残余症状的疗效。方法选取2019年10月~2020年1月由SRM-IV型前庭功能诊疗系统复位成功后仍存在残余症状的76例原发性BPPV患者,随机分为对照组和治疗组,每组各38例。对照组进行以Cawthorne-Cooksey为基础的传统前庭康复训练,治疗组使用沉浸式前庭功能康复训练系统,均治疗4周,比较两组残余症状持续时间、治疗前后头晕残障问卷(dizziness handicap inventory, DHI)评分及康复训练的依从性。结果两组患者康复训练前DHI评分比较,差异无统计学意义(P>0.05);康复训练后治疗组残余症状持续时间(8.42±3.35 d)低于对照组(12.34±4.49 d),差异有统计学意义(P<0.05);康复训练后1周及4周后DHI评分显示,治疗组评分(分别为52.79±8.66、5.53±3.20分))低于对照组(分别为57.26±7.91、8.61±3.64分),差异有统计学意义(P<0.05);治疗组患者的依从性(完全依从29例,76.32%)高于对照组(完全依从20例,52.63%),差异有统计学意义(P<0.05)。结论运用沉浸式前庭功能康复训练系统对原发性BPPV患者复位后残余症状进行治疗能取得比传统前庭康复训练更好的临床效果。
关键词
沉浸式;前庭功能康复训练;良性阵发性位置性眩晕;残余症状
基金项目(Foundation):
辽宁省卫生计生委基金资助项目(LNCCC-D56-2015)
作者
舒福;石磊;张琦;冷辉;
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