前庭康复训练对前庭神经炎患者平衡功能恢复的影响

Effect of Vestibular Rehabilitation Training on Balance Function Recov-ery in Patients with Vestibular Neuritis

目的探讨对前庭神经炎患者实施前庭康复训练后平衡功能的恢复效果。方法按照纳入和排除标准筛选出医院2015年1月—2017年1月收治的58例前庭神经炎患者作为受试对象,依次进行编号后按照PEMS3.0软件包生成的随机数字表分为参考组(29例)与训练组(29例),均实施常规药物治疗,且训练组与此同时给予前庭康复训练。分别在治疗前后采用眩晕残障程度量表(DHI)、日常活动前庭功能障碍等级量表(VADL)、Berg平衡量表(Berg)评价并对比眩晕残障程度、日常活动前庭功能障碍情况及整体平衡功能,评价临床疗效。结果治疗后训练组DHI、VADL和Berg量表评分分别为(22.6±3.5)分、(28.7±4.2)分和(32.4±3.1)分,参考组分别为(33.7±3.9)分、(44.3±4.3)分和(26.3±3.5)分,两组DHI和VADL评分均较治疗前远远降低(P<0.05),而Berg量表评分均较治疗前显著升高(P<0.05),且治疗后训练组DHI和VADL评分均远低于参考组(P<0.05),Berg量表评分远高于参考组(P<0.05);训练组临床疗效分布情况与参考组对比可发现差异有统计学意义(P<0.05),且前者临床有效率为93.10%,远远高于后者的68.97%(P<0.05)。结论对前庭神经炎患者给予前庭康复训练能够显著减轻眩晕和日常活动前庭功能障碍,改善机体平衡功能,增强临床疗效。

Objective This paper tries to investigate the effect of vestibular rehabilitation training on balance function in patients with vestibular neuritis.Methods According to the inclusion and exclusion criteria,58 patients with vestibular neuritis from January 2015 to January 2017 were selected as the subjects,the random number table was generated by the PEMS3.0 software package and the subjects were divided into the control group(29 cases)and training group(29 cases),both implementing the conventional drug treatment,and the training group at the same time was given the vestibular rehabilitation.The degree of disability scale vertigo respectively before and after treatment(DHI),the daily activities of vestibular dysfunction rating scale(VADL),Berg balance scale(Berg)evaluation and the degree of disability,vertigo,vestibular dysfunction and daily activity overall balance function,evaluation of clinical curative effect of the two groups were compared.Results After treatment,DHI,VADL and Berg scores were respectively(22.6±3.5)points,(28.7±4.2)points and(32.4±3.1)points,the reference group respectively were(33.7±3.9)points,(44.3±4.3)points and(26.3±3.5)points,the DHI and VADL were much lower than those before treatment(P<0.05),while the Berg scores were significantly higher than those before treatment(P<0.05),and after treatment,DHI and VADL scores of training group were much lower than the reference group(P<0.05),Berg scale was far higher than the control group(P<0.05);the clinical efficacy distribution in the training group and the control group had statistically significant difference(P<0.05),and the clinical effective rate was 93.10%,much higher than 68.97%of the latter(P<0.05).Conclusion Vestibular rehabilitation training for patients with vestibular neuritis can significantly reduce vertigo and vestibular dysfunction in daily activities,which can improve balance function,and enhance clinical efficacy.