摘要
目的:探讨前庭康复移动互联网远程指导平台在前庭康复中的实际应用效果。方法:选择经线下门诊确诊且需要进行前庭康复治疗的成年前庭疾病患者,根据其症状、诊断及前庭功能检查结果进行基线评估,制定前庭康复方案。患者下载并安装前庭康复移动互联网远程指导平台app,注册并上传病历资料,平台根据临床医师为患者制定的前庭康复方案推送相应的锻炼指导视频,指导患者居家完成4周的前庭康复锻炼。康复锻炼前后平台对患者进行眩晕视觉模拟量表(Visual Analogue Scale,VAS)、平衡信心量表(Activities-specific Balance Confidence,ABC)、眩晕残障量表(Dizziness Handicap Inventory,DHI)以及焦虑自测量表(Self-rating Anxiety Scale,SAS)评分,采用SigmaStat 4.0软件统计分析其康复效果。结果:2019年10月至2021年10月共233例眩晕患者完成前庭康复指导平台注册,其中187例坚持4周康复训练并完成量表评测。187例患者中,男性65例,女性122例;年龄(49.8±16.0)岁;病史1~192个月,中位病史8个月。与康复锻炼前比较,170例患者眩晕主观感觉改善,总体有效率为90.9%(170/187)。单侧前庭功能减退、前庭神经炎、突发性聋伴眩晕、Hunt综合征、听神经瘤术后患者康复训练后眩晕主观症状基本全部获得改善,康复锻炼前后ABC、DHI、SAS评分差异均有有统计学意义( P值均<0.05)。梅尼埃病间歇期及梅尼埃病术后患者中,超过90%的患者康复训练后眩晕主观症状改善,且ABC、DHI、SAS评分前庭康复锻炼前后差异有统计学意义( P值均<0.05)。前庭性偏头痛患者中,36.7%(11/30)的患者前庭康复锻炼后眩晕主观症状无改善甚至加重,但康复锻炼后DHI评分较锻炼前降低,且差异有统计学意义( P<0.05)。双侧前庭功能减退患者,虽然大部分(6/8)主观症状评分较锻炼前改善,但ABC、DHI、SAS评分康复前后差异均无统计学意义( P值均>0.05)。 结论:对于单
Objective To guide the patients with vertigo who are suitable for vestibular rehabilitation therapy(VRT),and to evaluate the curative effect through a remote guidance platform based on mobile internet.Methods Adult outpatients,who were diagnosed as vestibular disorders and required VRT,were selected and conducted baseline evaluation and formulated vestibular rehabilitation plan according to their symptoms,diagnosis and vestibular function examination results.These patients downloaded and installed the mobile internet remote guidance platform app for VRT,and then registered and uploaded medical records.According to the VRT plan formulated by clinicians for patients,the platform launched corresponding exercise guidance videos to guide them to complete 4-week VRT exercise at home.Before and after VRT,the patients were scored with Visual Analogue Scale(VAS),Activities-specific Balance Confidence(ABC),Dizziness Handicap Inventory(DHI)and Self-rating Anxiety Scale(SAS).The rehabilitation effects were statistically analyzed by SigmaStat 4.0 software.Results From October 2019 to October 2021,233 patients with vertigo completed the registration of vestibular rehabilitation guidance platform,of whom 187 patients insisted on 4-week rehabilitation training and completed the scale evaluation.Among 187 patients,65 were male and 122 were female;Age was(49.8±16.0)years;The medical history ranged from one to 192 months,with a median of eight months.Compared with that before rehabilitation exercise,the subjective feeling of vertigo in 170 patients was improved,and the overall effective rate was 90.9%(170/187).The subjective symptoms of vertigo were basically improved after rehabilitation training in patients with unilateral vestibular dysfunction,vestibular neuritis,sudden deafness with vertigo,Hunt syndrome and acoustic neuroma.There were significant differences in ABC,DHI and SAS scores before and after VRT(P<0.05).Of those patients with Meniere′s disease in the intermittent period and the patients with Meniere′s disease wh
作者
郑贵亮
张青
陈建勇
金玉莲
刘凌峰
杨军
Zheng Guiliang;Zhang Qing;Chen Jianyong;Jin Yulian;Liu Lingfeng;Yang Jun(Department of Otorhinolaryngology Head and Neck Surgery,Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Institute of Otology,School of Medicine,Shanghai Jiaotong University,Shanghai Key Laboratory of Ear and Nose Disease Transformation,Shanghai 200092,China;Suzhou Hearing Technology Research Institute of Tinnitus,Suzhou 425000,China)
出处
《中华耳鼻咽喉头颈外科杂志》
CSCD
北大核心
2022年第3期276-281,共6页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
基金
上海交通大学转化医学交叉研究基金重点项目 (ZH2018ZDA11)。
关键词
眩晕
前庭康复
移动互联网
远程指导
Vertigo
Vestibular rehabilitation therapy
Mobile Internet
Remote guidance
