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

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。

Objective To stady the clinical efficacy of the immersive vestibular function rehabilitation training system on residual symptoms after successful canalith repositioning maneuvers in patients of BPPV.Methods A total of 76 cases of BPPV patients with residual symptoms after successful canalith repositioning maneuvers by SRM-IV vestibular function diagnosis and treatment system from October 2019 to January 2020 were selected,they were randomly divided into the treatment group(38 cases)and the control group(38 cases).The control group received traditional vestibular rehabilitation training based on Cawthorne-Cooksey.The treatment group used the immersive vestibular function rehabilitation training system.All patients were treated for 4 weeks.The duration of residual symptoms,DHI vertigo and disability score before and after treatment and the compliance of rehabilitation training in all patients were observed and compared.Results There was no significant difference in baseline condition and DHI vertigo disability score between the two groups(P>0.05).After vestibular rehabilitation training,the duration of residual symptoms in the treatment group was much lower than that in the control group,and the difference was statistically significant(P<0.05).One week and four weeks after rehabilitation training,the DHI score of the treatment group was lower than that of the control group,and the difference was statistically significant(P<0.05).The compliance test of rehabilitation training between the two groups showed that the compliance of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Using the immersive vestibular function rehabilitation training system to treat the residual symptoms after successful reduction of BPPV can achieve better clinical results than traditional vestibular rehabilitation training.