摘要
目的探究急性前庭神经炎患者采用前庭康复治疗联合甲泼尼龙的效果.方法选取2022年11月—2023年10月就诊于山东省济宁市泗水县人民医院的66例急性前庭神经炎患者为研究对象,按随机数字表法将其分为对照组和观察组,每组33例.对照组采用甲泼尼龙治疗,观察组在此基础上采用前庭康复治疗,两组均持续1周.比较两组患者的前庭功能、眩晕程度及日常生活活动能力.结果治疗后,观察组的前庭症状指数量表中各维度评分均低于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组的眩晕残障量表评分为(47.63±6.32)分,低于对照组的(56.75±8.21)分,日常生活能力评分为(82.94±7.14)分,高于对照组的(74.84±6.53)分,组间差异有统计学意义(P<0.05).结论对急性前庭神经炎患者采用前庭康复治疗与甲泼尼龙联合的方式治疗,可明显改善患者前庭功能障碍及眩晕程度,提高其日常生活活动能力.
Objective To investigate the effect of vestibular rehabilitation combined with methylprednisolone in patients with acute vestibular neuritis.Methods 66 patients with acute vestibular neuritis admitted to Sishui County People's Hospital,Jining City,Shandong Province from November 2022 to October 2023 were selected as the research subjects and were divided into a control group and an observation group according to random number table method,with 33 cases in each group.The control group was treated with methylprednisolone,and the observation group was treated with vestibular rehabilitation on this basis.Both groups were treated for 1 week.The vestibular function,vertigo degree and ability of daily living were compared between the two groups.Results Afte r treatment,the scores of Vestibular Symptom Index in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the Dizziness Handicap Inventory score in the observation group was(47.63±6.32)points,lower than(56.75±8.21)points in the control group,and the Activities of Daily Living score was(82.94±7.14)points,higher than(74.84±6.53)points in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion The combination of vestibular rehabilitation therapy and methylprednisolone in patients with acute vestibular neuritis can significantly improve the vestibular dysfunction and the degree of vertigo,and improve the ability of daily living.
作者
高杰
GAO Jie(Department of Otolaryngology,Sishui County People's Hospital,Jining City,Shandong Province,Jining Shandong,273200,China)
出处
《反射疗法与康复医学》
2024年第6期119-122,共4页
Reflexology And Rehabilitation Medicine
关键词
急性前庭神经炎
甲泼尼龙
前庭康复治疗
前庭功能
眩晕程度
Acute vestibular neuritis
Methylprednisolone
Vestibular rehabilitation
Vestibular function
Degree of vertigo