摘要
目的分析SRM-Ⅳ眩晕诊疗系统与前庭康复疗法分别联合强力定眩片治疗周围性眩晕患者疗效及对睡眠质量、焦虑抑郁症状的影响。方法前瞻性选取自2020年1月至2022年1月青岛市中医医院收治的136例周围性眩晕患者作为研究对象,按照随机数字表法分为观察组和对照组,各68例。两组均予以强力定眩片治疗,在此基础上,观察组加用SRM-Ⅳ眩晕诊疗系统治疗,对照组加用前庭康复疗法治疗。比较两组治疗后的眩晕残障问卷(DHI)、特异性活动平衡信心量表(ABC)、前庭活动与参与量表(VAP)、前庭功能指标[重心移动总长度(PL)、重心移动总面积(CA)、半规管轻瘫值]、匹兹堡睡眠质量指数量表(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS),并比较两组的治疗效果。结果治疗后,观察组DHI评分、VAP评分分别为(5.87±1.43)、(12.05±2.16)分,均低于对照组[(12.43±2.69)、(18.73±2.85)分],ABC评分为(92.36±5.07)分,高于对照组[(87.71±4.43)分],差异均有统计学意义(P<0.05)。治疗后,观察组PL、CA、半规管轻瘫值分别为(145.62±36.84)mm、(8.75±2.17)mm^(2)、(28.76±2.63)%,均小于对照组[(173.08±42.16)mm、(11.62±2.83)mm^(2)、(35.04±3.41)%],差异均有统计学意义(P<0.05)。治疗后,观察组PSQI评分、SAS评分、SDS评分分别为(6.75±0.87)、(5.61±1.43)、(5.46±1.52)分,均低于对照组[(9.08±1.41)、(8.46±1.80)、(7.97±1.89)分],差异均有统计学意义(P<0.05)。观察组治疗有效率为97.06%,高于对照组的86.76%,差异有统计学意义(P<0.05)。结论SRM-Ⅳ眩晕诊疗系统联合强力定眩片治疗周围性眩晕患者的疗效优于前庭康复疗法联合强力定眩片治疗,前者在改善睡眠质量和缓解焦虑抑郁症状上具有优势,可能与SRM-Ⅳ眩晕诊疗系统明显促进平衡功能恢复有关,值得临床予以重视应用。
Objective To analyze the efficacy of SRM-Ⅳvertigo diagnosis and treatment system and vestibular rehabilitation therapy combined with QiangliDingxuanPian in the treatment of patients with peripheral vertigo and the effects on sleep quality,anxiety and depression symptoms.Methods A total of 136 patients with peripheral vertigo treated in Qingdao Hospital of Traditional Chinese Medicine from January 2020 to January 2022 were prospectively selected as research objects and divided into group A and group B according to the random number table,with 68 cases in each group.Both groups were treated with QiangliDingxuanPian,on the basis of which,group A was treated with SRM-Ⅳvertigo diagnosis and treatment system,group B was treated with vestibular rehabilitation therapy.The vertigo disability questionnaire(DHI),specific activity balance confidence scale(ABC),vestibular activity and participation scale(VAP),vestibular function index[total length of center of gravity movement(PL),total center of gravity movement(CA),semicircular palsy value],Pittsburgh sleep quality index scale(PSQI),and self-rating anxiety scale(SAS),self-rating depression scale(SDS)after treatment were compared between the two groups,and the treatment effects of the two groups were compared.Results DHI scores and VAP scores in observation group after treatment were(5.87±1.43)and(12.05±2.16)points,respectively,which were lower than those in control group[(12.43±2.69)and(18.73±2.85)points],and ABC score was(92.36±5.07)points,which was higher than that in control group[(87.71±4.43)points],the differences were statistically significant(P<0.05).The values of PL,CA and semicircular canal palsy in observation group after treatment were(145.62±36.84)mm,(8.75±2.17)mm^(2),(28.76±2.63)%,respectively,which were lower than those in control group[(173.08±42.16)mm,(11.62±2.83)mm^(2),(35.04±3.41)%],the differences were statistically significant(P<0.05).PSQI scores,SAS scores and SDS scores of observation group after treatment were(6.75±0.87),(5.61±1.43),
作者
王彩霞
孙进仓
于文兵
李文静
WANG Cai-xia;SUN Jin-cang;YU Wen-bing(Department of Neurology,Qingdao Hospital of Traditional Chinese Medicine,Qingdao Shandong 266034,China;Basic Teaching Center,Ocean University of China,Qingdao Shandong 266100,China)
出处
《临床和实验医学杂志》
2023年第11期1128-1132,共5页
Journal of Clinical and Experimental Medicine
基金
山东省高等教育本科教学改革研究项目(编号:M2021056)。
关键词
周围性眩晕
SRM-Ⅳ眩晕诊疗系统
前庭康复疗法
强力定眩片
Peripheral vertigo
SRM-Ⅳvertigo diagnosis and treatment system
Vestibular rehabilitation
QiangliDingxuanPian
