前庭康复对良性阵发性位置性眩晕患者走路不稳症状的治疗分析

Analysis of vestibular rehabilitation for the treatment of walking instability symptoms in patients with benign paroxysmal positional vertigo

目的探讨前庭康复治疗对良性阵发性位置性眩晕(BPPV)患者进行手法复位后残余走路不稳症状的治疗效果。方法选取2018年10月~2019年12月我院门诊收治的经手法复位后遗留有走路不稳症状的90例BPPV患者作为研究对象,随机将其分为对照组与试验组,每组45例。对照组患者给予健康宣教,试验组患者除进行健康宣教外,同时进行前庭康复训练。治疗前及治疗4周后分别收集两组患者的前庭症状指数(VSI)、眩晕障碍量表(DHI)、Berg平衡量表(BBS)、活动平衡信心量表(ABC)和焦虑自评量表(SAS)评分并进行比较。结果两组患者治疗前VSI、DHI、BBS、ABC、SAS评分比较差异均无统计学意义(P>0.05),治疗后VSI、DHI、SAS评分较同组治疗前均明显降低,BBS、ABC评分明显升高(P<0.05),且试验组治疗后各项评分均明显优于对照组(P<0.05)。结论前庭康复对BPPV复位后遗留走路不稳的患者有积极的改善作用,可在临床中进一步推广。

Objective To investigate the therapeutic effect of vestibular rehabilitation on the residual walking instability symptoms in patients with benign paroxysmal positional vertigo(BPPV)after manual repositioning.Methods Ninety cases of BPPV patients with residual walking instability symptoms after manual repositioning were admitted to our outpatient clinic from October 2018 to December 2019,and the patients were randomly divided into control group and experimental group with 45 cases in each group.The patients in the control group were given health education,while the patients in the experimental group were given health education and vestibular rehabilitation training at the same time.The vestibular symptom index(VSI),dizziness disorder scale(DHI),Berg balance scale(BBS),activity balance confidence scale(ABC)and anxiety self-assessment scale(SAS)scores were collected from all patients before and after 4 weeks of treatment in both groups and compared.Results Before treatment,there were no significant differences in VSI,DHI,BBS,ABC and SAS scores between the two groups(P>0.05).After treatment,VSI,DHI and SAS scores were significantly lower than those before treatment in the same group,while BBS and ABC scores were significantly higher(P<0.05),and all scores after treatment of experimental groups were significantly better than those of control group(P<0.05).Conclusion Vestibular rehabilitation has a positive improvement effect on patients with residual walking instability after BPPV repositioning and can be further promoted in clinical practice.