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双侧前庭功能减退患者的前庭植入物和其他现有治疗选择的效果:综述。

The Effects of Vestibular Implants and Other Existing Treatment Options of Individuals with Bilateral Vestibular Hypofunction: A Review.

机构信息

Department of Health Sciences, McMaster University, Hamilton, L8S 4K1 Ontario, Canada.

出版信息

J Long Term Eff Med Implants. 2023;33(4):31-42. doi: 10.1615/JLongTermEffMedImplants.2022040056.

Abstract

Vestibular dysfunction (VD) is an experience that is shared by nearly 35% of Americans above the age of 40 (nearly 69 million). This percentage increases to 80% when looking at the population of individuals over the age of 80. VD can have tremendously negative health outcomes for patients. Improper vestibular function can result in a loss of balance and patients often cite vertigo as a common symptom, which is often associated with dramatically reduced quality of life. Falls are another common clinically significant outcome of VD and place a huge social and financial burden on the patient and healthcare system. Although the pathophysiology and treatment options for certain vestibular disorders have been well researched, disorders such as bilateral vestibular dysfunction (BVD), have had traditionally ineffective treatment options. That said, novel therapeutics such as vestibular implants (VIs) have been recently tested and showed positive health outcomes for patients with BVD. This review aims to investigate the health outcomes of patients who have received VIs, as well as discuss the limitations and existing treatment options.

摘要

前庭功能障碍(VD)是 40 岁以上美国人(近 6900 万)中近 35%的人共同经历的一种体验。当观察 80 岁以上人群时,这一比例上升到 80%。VD 会给患者的健康带来极大的负面影响。前庭功能不当可能导致平衡丧失,患者常以眩晕为常见症状,这往往与生活质量显著下降有关。跌倒也是 VD 的另一种常见临床重要后果,给患者和医疗保健系统带来巨大的社会和经济负担。尽管某些前庭疾病的病理生理学和治疗选择已经得到了很好的研究,但像双侧前庭功能障碍(BVD)这样的疾病的传统治疗选择通常效果不佳。也就是说,最近已经测试了一些新的治疗方法,如前庭植入物(VIs),并为 BVD 患者带来了积极的健康结果。本综述旨在研究接受 VIs 的患者的健康结果,并讨论其局限性和现有的治疗选择。

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