Xi Kai, Jiang Mengsha, Wang Yuehui, Li Yangyang, Li Huaping
Department of Otolaryngology Head and Neck Surgery，the First Affiliated Hospital，and College of Clinical Medicine of Henan University of Science and Technology，Luoyang，471003，China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Aug;36(8):582-587. doi: 10.13201/j.issn.2096-7993.2022.08.003.
To investigate the impact of time interval from symptoms onset to vestibular rehabilitation on the recovery of patients in the acute phase of vestibular neuritis. Thirty-one patients with vestibular neuritis treated in outpatient and inpatient settings from December 2019 to July 2021 were selected and randomly divided into vestibular rehabilitation group and general treatment group. The vestibular rehabilitation group was subdivided into early-intervention group （1-week after symptom onset） and late-intervention group （2-week after symptom onset） according to the interval from the onset to vestibular rehabilitation. The differences in DP, UW, VOR, DHI, BBS and SAS values at 1 month and 3 months after treatment were compared among early-intervention group（11 cases）, late-intervention group （10 cases） and general treatment group（10 cases）. For patients in the vestibular rehabilitation group and the general treatment group, DP, UW, VOR gain, DHI score and SAS score were significantly different after treatment （ <0.05） and no significant difference was found in BBS score （>0.05 ）. Pairwise comparisons between early-intervention and late-intervention group showed that the DP, UW and VOR gain were significantly different （<0.05）, while the score of DHI and SAS were not significantly different （>0.05）. Vestibular rehabilitation therapy can accelerate vestibular compensation, relieve vertigo symptoms and anxiety symptoms in patients with vestibular neuritis. It is better to be carried out within 1 week after symptom onset.
为探讨前庭神经炎急性期患者从症状发作到前庭康复的时间间隔对其恢复的影响。选取2019年12月至2021年7月在门诊及住院治疗的31例前庭神经炎患者，随机分为前庭康复组和常规治疗组。前庭康复组根据从症状发作到前庭康复的时间间隔，再细分为早期干预组（症状发作后1周）和晚期干预组（症状发作后2周）。比较早期干预组（11例）、晚期干预组（10例）和常规治疗组（10例）治疗后1个月和3个月时的DP、UW、VOR、DHI、BBS及SAS值的差异。对于前庭康复组和常规治疗组患者，治疗后DP、UW、VOR增益、DHI评分及SAS评分差异有统计学意义（<0.05），BBS评分差异无统计学意义（>0.05）。早期干预组与晚期干预组两两比较显示，DP、UW及VOR增益差异有统计学意义（<0.05），而DHI及SAS评分差异无统计学意义（>0.05）。前庭康复治疗可加速前庭神经炎患者的前庭代偿，缓解眩晕症状及焦虑症状。症状发作后1周内进行效果更佳。
