Wang Huan, Zheng Jie, Li Fulai, Feng Chenfang, Zhang Nan
Huan Wang Department of Otolaryngological, Cangzhou People's Hospital, Cangzhou, 061000, Hebei, China.
Jie Zheng Department of Otolaryngological, Cangzhou People's Hospital, Cangzhou, 061000, Hebei, China.
Pak J Med Sci. 2024 Aug;40(7):1466-1472. doi: 10.12669/pjms.40.7.8662.
To evaluate the clinical efficacy of vestibular assessment and rehabilitation training in patients with peripheral vestibular vertigo.
This was a retrospective study. A total of 169 patients diagnosed with peripheral vestibular vertigo, admitted to Cangzhou People's Hospital between January 2020 and January 2023 were divided into control group (83 cases) and observation group (86 cases). The control group received medication-based treatment, while the observation group was provided with combined treatment of medication and vestibular rehabilitation training. Assessment of recovery included the Dizziness Handicap Inventory (DHI), Vestibular Symptom Index (VSI), and Activities-specific Balance Confidence (ABC) scale before and at two, four, and eight weeks post-treatment. Psychological status, sleep quality, and life quality were evaluated. Both groups underwent the Fukuda stepping test and timed balance test.
At two, four, and eight weeks post-treatment, both groups exhibited significantly lower DHI-P, DHI-F, DHI-E, VSI, and ABC scores compared to pre-treatment (p<0.05). The observation group showed significantly lower DHI-P, DHI-F, DHI-E, VSI, and ABC scores than the control group at two and four weeks post-treatment (p<0.05). After treatment, both groups demonstrated reduced body deviation angles and increased time without falling in the Fukuda stepping test (p<0.05). Notably, the observation group had significantly better outcomes (p<0.05).
In comparison to medication-based treatment alone, a combined approach involving medication treatment and vestibular rehabilitation training may demonstrate early improvements in vertigo symptoms, enhance balance capabilities, and ameliorate psychological well-being, sleep quality, and overall quality of life for patients.
评估前庭评估及康复训练在外周性前庭性眩晕患者中的临床疗效。
这是一项回顾性研究。2020年1月至2023年1月期间入住沧州市人民医院的169例被诊断为外周性前庭性眩晕的患者被分为对照组（83例）和观察组（86例）。对照组接受以药物为主的治疗，而观察组则接受药物与前庭康复训练的联合治疗。评估恢复情况包括治疗前、治疗后两周、四周和八周时的头晕残障量表（DHI）、前庭症状指数（VSI）和特定活动平衡信心（ABC）量表。评估心理状态、睡眠质量和生活质量。两组均进行福岛踏步试验和定时平衡测试。
治疗后两周、四周和八周时，两组的DHI-P、DHI-F、DHI-E、VSI和ABC评分均显著低于治疗前（p<0.05）。治疗后两周和四周时，观察组的DHI-P、DHI-F、DHI-E、VSI和ABC评分显著低于对照组（p<0.05）。治疗后，两组在福岛踏步试验中的身体偏斜角度均减小，不跌倒时间增加（p<0.05）。值得注意的是，观察组的结果明显更好（p<0.05）。
与单纯的药物治疗相比，药物治疗与前庭康复训练相结合的方法可能会使眩晕症状早期得到改善，增强平衡能力，并改善患者的心理健康、睡眠质量和整体生活质量。
