文章摘要
张庆玲,张丹.良性阵发性位置性眩晕残余症状的康复治疗[J].神经损伤功能重建,2021,16(7):389-391
良性阵发性位置性眩晕残余症状的康复治疗
Rehabilitation of Residual Symptoms of Benign Paroxysmal Positional Vertigo
  
DOI:
中文关键词: 良性阵发性位置性眩晕  残余症状  康复治疗
英文关键词: benign paroxysmal positional vertigo  residual symptoms  rehabilitation treatment
基金项目:
作者单位
张庆玲,张丹 华中科技大学同济 医学院附属同济医 院耳鼻咽喉头颈外 科 
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中文摘要:
      目的:探讨良性阵发性位置性眩晕(BPPV)残余症状的康复治疗疗效。方法:BPPV患者128例,随机 分为对照组和研究组各64例,对照组进行常规治疗,研究组进行综合性康复治疗。比较2组患者治疗有效 率、症状持续时间、眩晕障碍量表(DHI)评分、医院焦虑抑郁量表(HADS)评分。结果:与对照组比较,研究 组治疗有效率更高(P<0.05),研究组颈部不适、头晕、走路不稳症状持续时间更短(P<0.05);干预前,2组 DHI评分差异无统计学意义(P>0.05),干预后,2组DHI评分明显降低,但与对照组比较,研究组DHI评分 降低更明显(P<0.05);干预前,2组HADS-T、HADS-A评分差异无统计学意义(P>0.05),干预后,HADS-T、 HADS-A评分明显降低,与对照组比较,研究组HADS-T、HADS-A评分降低更明显(P<0.05);与对照组比 较,研究组血流动力学指标更低(P<0.05)。结论:对BPPV患者进行综合性康复治疗指导,可改善患者临床 症状,提高生活质量,缓解焦虑抑郁情绪,维持正常血流动力学指标。
英文摘要:
      To explore effects of rehabilitation of residual symptoms of benign paroxysmal positional vertigo (BPPV). Methods: A total of 128 patients were randomly divided into control group and study group with 64 patients in each. The control group was given routine treatment, and the study group was given comprehensive treatment. The therapeutic efficiency, duration of symptoms, dizziness handicap inventory (DHI), and hospital anxiety depression scale (HADS) of the 2 groups were compared. Results: Compared with the control group, the study group showed a higher effective rate (P<0.05) and a shorter duration of neck discomfort, dizziness, and walking instability (P<0.05). Before intervention, there was no significant difference in DHI scores between the two groups (P>0.05). After intervention, DHI scores in the two groups were significantly decreased, and DHI scores in the study group were more significantly decreased than that of the control group (P<0.05). Before intervention, there was no significant difference in HADS-T and HADS-A scores between the two groups (P>0.05). After intervention, HADS-T and HADS-A scores were significantly decreased in both groups, and the decrease in the study group was more significant (P<0.05). The hemodynamic indexes of the study group were lower compared with those of the control group (P<0.05). Conclusion: Comprehensive treatment for patients with benign paroxysmal positional vertigo can improve clinical symptoms, improve quality of life, relieve anxiety and depression, and maintain normal hemodynamic indexes.
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