行为康复训练在单侧外周前庭病变患者中的效果分析

摘要

Objective To evaluate the effect of behavior rehabilitation training in patients with unilateral peripheral vestibular lesions.Methods Totally 86 patients with unilateral peripheral vestibular lesions from March 2012 to March 2014 were randomly divided into control group (36 cases) receiving conventional rehabilitation training and observation group (50 cases) receiving behavior rehabilitation training on basis of conventional rehabilitation training.The Fugl-Meyer score was used to assess the posture stability before and after training,the curative effect,training compliance and quality of life after training were evaluated and compared between the two groups.Results The Fugl-Meyer score showed no significant difference between control group [(8.0 ± 1.9) scores] and observation group [(8.3 ± 1.8) scores] before training (P ＞ 0.05),which were increased after training in both control group [(0.4±1.6) scores] and observation group [(12.3 ± 1.5) scores] (both P＜0.05),in addition,the score of observation group was higher than that of control group (P ＜ 0.05) after treatment.The effective rate of observation group was higher than that in control group [96.0％ (48/50) vs 77.8％ (28/36),P＜0.05],so was the training compliance rate [98.0％ (49/50) vs 80.6％ (29/36),P ＜ 0.05].After rehabilitation training,the quality of life in observation group was better than that in control group [total score:(73 ±9) scores vs (65 ±8) scores,P＜0.05].Conclusion Behavior rehabilitation training can improve the posture stability,raise the clinical effect and enhance the quality of life in patients with unilateral peripheral vestibular lesions.%目的 探讨行为康复训练用于单侧外周前庭病变伴姿势不稳患者中的效果.方法 纳入深圳市第四人民医院2012年3月至2014年3月单侧外周前庭病变患者86例,采用随机数字表法将其分为观察组(50例)和对照组(36例),对照组给予常规康复训练;观察组在常规康复训练的基础上辅以行为康复训练.训练个月后采用Fugl-Meyer评分评估并比较2组治疗前后姿势稳定性,评价并比较2组疗效、训练依从率及生活质量.结果 训练前对照组和观察组Fugl-Meyer评分分别为(8.0±1.9)分和(8.3±1.8)分,差异无统计学意义(P＞0.05),训练后2组Fugl-Meyer评分分别为(10.4±1.6)和(12.3±1.5)分,均较训练前明显改善(均P＜0.05),训练后观察组Fugl-Meyer评分高于对照组,差异有统计学意义(P＜0.05).观察组总有效率[96.0％ (48/50)]高于对照组[77.8％ (28/36)],差异有统计学意义(P＜0.05);观察组研究对象依从率[98.0％ (49/50)]高于对照组[80.6％ (29/36)],差异有统计学意义(P＜0.05).康复训练后观察组生活质量综合评分优于对照组[(73±9)分比(65±8)分,P＜0.05].结论 行为康复训练用于单侧外周前庭病变能够提高姿势稳定性,提高临床疗效,改善其生活质量.