前庭功能刺激训练治疗晕车病疗效的影响因素分析

Analysis of influencing factors on the efficacy of vestibular function stimulation training in car sickness

目的探讨影响前庭功能刺激训练治疗晕车病患者疗效的临床因素。方法回顾性分析2016年6月~2019年12月就诊于宜宾市第一人民医院耳鼻咽喉头颈外科并进行高强度前庭功能训练治疗的晕车病患者,采用Graybiel晕车病症状评分,评价高强度前庭功能训练治疗晕车病患者的疗效。将年龄、性别、失眠症、焦虑、肥胖、高脂血症、后循环缺血、慢性胃炎及中耳炎等因素作为可能影响高强度前庭功能训练治疗晕车病患者疗效的因素纳入研究,先行单因素分析,再行多因素logistic回归模型分析。结果无效组患者年龄、失眠症患者占比、严重焦虑者占比、慢性胃炎者占比均较有效组患者高,差异均具有统计学意义;将单因素分析中具有统计学意义的变量进一步纳入多因素logistic回归模型,发现焦虑和慢性胃炎与高强度前庭功能训练治疗晕车病疗效存在相关性。结论无焦虑和无慢性胃炎的晕车病患者经高强度前庭功能训练治疗后疗效更好。

OBJECTIVE To explore the clinical factors that affect the efficacy of high-intensity vestibular function training in patients with car sickness.METHODS Patients with car sickness who were treated in our department from June 2016 to December 2019 and had undergone high-intensity vestibular function training were retrospectively analyzed.Graybiel car sickness symptom score was used to evaluate the efficacy of high-intensity vestibular function training.Factors such as age,gender,insomnia,anxiety,obesity,hyperlipidemia,posterior circulation ischemia,chronic gastritis,and otitis media were included in this study as factors that may affect the efficacy of high-intensity vestibular function training for car sickness patients.Univariate analysis was performed first,followed by multivariate logistic regression model analysis.RESULTS The age of ineffective group,the proportion of insomnia patients,the proportion of severe anxiety,and the proportion of chronic gastritis were higher than those of effective group,and the differences were statistically significant.The statistically significant variables in the univariate analysis were further included in the multivariate logistic regression model,and it was found that anxiety and chronic gastritis were related to the effect of high-intensity vestibular function training on car sickness.CONCLUSION Patients with car sickness without anxiety and chronic gastritis have better efficacy after high-intensity vestibular function training.