个体化前庭康复训练在老年头晕眩晕患者中的应用价值

Application Value of Individualized Vestibular Rehabilitation Training in Elderly Patients with Dizziness and Vertigo

目的:探讨老年头晕眩晕患者采取个体化前庭康复训练的效果。方法:选取2021年7月—2022年8月如皋博爱医院收治的老年头晕眩晕患者104例作为研究对象,根据随机数字表法分为研究组和对照组,各52例。对照组采用Cawthorne-Cooksey传统康复训练,研究组采取个体化前庭康复训练。比较两组症状严重程度、信心程度、前庭功能、训练依从性及动作规范率。结果:训练后4、8周,两组眩晕残障量表评分均低于训练前,且研究组低于对照组,差异有统计学意义(P<0.05)。训练后4、8周,对照组平衡信心量表(ABC)评分高于训练前;训练后1、4、8周,研究组ABC评分高于训练前与对照组,差异有统计学意义(P<0.05)。训练后1、4、8周,两组前庭日常活动指数量表评分低于训练前,且研究组低于对照组,差异有统计学意义(P<0.001)。研究组训练依从性及动作规范率均高于对照组,差异有统计学意义(P<0.05)。结论:老年头晕眩晕患者采取个体化前庭康复训练的效果显著,可有效缓解临床症状,改善前庭功能障碍情况,提高治疗信心、训练依从性、动作规范率,改善患者生活质量。

Objective:To explore the effect of individualized vestibular rehabilitation training in elderly patients with dizziness and vertigo.Methods:A total of 104 elderly patients with dizziness and vertigo admitted to Rugao Boai Hospital from July 2021 to August 2022 were selected as the study subjects.They were divided into the study group and the control group according to the random number table method,with 52 cases in each group.The control group received Cawthorne-Cooksey traditional rehabilitation training,while the study group received individualized vestibular rehabilitation training.The symptom severity,confidence,vestibular function,training compliance,and action normative rate in two groups were compared.Results:At 4 and 8 weeks after training,the scores of the Dizziness Handicap Inventory in the two groups were lower than those before training,and the study group was lower than the control group,and the difference was statistically significant(P<0.05).At 4 and 8 weeks after training,the Activities-specific Balance Confidence(ABC)scale scores in the control group were higher than those before training;At 1,4 and 8 weeks after training,the ABC score in the study group was higher than that before training group and that in the control group,and the difference was statistically significant(P<0.05).At 1,4 and 8 weeks after training,the scores of the Vestibular Disorders Activities of Daily Living Scale in the two groups were lower than those before training,and the study group was lower than the control group,and the difference was statistically significant(P<0.001).The training compliance and action normative rates in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The effect of individual vestibular rehabilitation training in elderly patients with dizziness and vertigo is significant,which can effectively relieve clinical symptoms,improve the vestibular dysfunction,increase the treatment confidence,training compliance and action normative rate,and improve the quality of life.