前庭康复治疗在中枢性眩晕患者中的疗效观察

摘要

Objective To report therapeutic outcomes of vestibular rehabilitation in patients with central vertigo.Methods Eighty patients diagnosed with central vertigo were randomly divided into a control and a study group with 40 in each group.Patients in the control group received conventional drug treatments,while those in the study group were treated with vestibular rehabilitation in addition to conventional drug treatments.The Berg Balance Scale (BBS) was used to evaluate the balance function,and the timed up and go test(TUG)was used to evaluate the walking function.Therapeutic outcomes were compared between the two groups after 4 weeks via BBS and TUG scores.Results The BBS score in both groups increased following the treatment,with the score in the experimental group noticeably higher than that in the control group (P0.05).In the meantime,TUG time in both groups decreased after the treatment,but more so in the study group than the control group(P0.05).The therapeutic outcomes favored the experimental group (P0.05).Conclusion Vestibular rehabilitation training can accelerate recovery in patients with central vertigo,and com-bining drug therapy with vestibular training can significantly improve clinical outcomes in these patients,facilitating bal-ance and walking ability.%目的 观察前庭康复治疗对中枢性眩晕患者的临床疗效.方法 选择在门诊及住院处就诊并明确诊断为中枢性眩晕的患者80例,随机分为对照组和实验组,每组40例.对照组采用常规药物治疗,实验组在常规药物治疗的基础上配合前庭康复训练.采用Berg平衡量表(BBS)评价平衡功能;"起立-行走"测试评价步行运动功能,于入组4周后比较两组患者的治疗效果.结果 1、实验组和对照组的BBS评分较治疗前均提高,但实验组较对照组提高更加明显,差异有统计学意义(P0.05);2、实验组和对照组的"起立-行走"测试时间评分较治疗前均下降,但实验组较对照组下降更加明显,差异均有统计学意义(P0.05);3、两组治疗效果比较,实验组好于对照组,差异有统计学意义(P0.05).结论 1、前庭康复训练能够加快中枢性眩晕患者的恢复.2、药物治疗配合前庭训练可显著改善中枢性眩晕患者的临床症状,提高平衡和步行运动能力.