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前庭康复治疗对前庭功能减退患者平衡能力及生活质量的影响OA

Effects of Vestibular Rehabilitation Therapy on Balance Ability and Quality of Life in Patients with Vestibular Hypofunction

中文摘要英文摘要

目的 研究前庭康复治疗对前庭功能减退患者平衡能力及生活质量的影响.方法 研究对象为 2023 年 1 月-2024 年 12月我院收治的 98 例前庭功能减退患者,按随机数字表法划分成对照组(n=49)与观察组(n=49),分别接受常规治疗、前庭康复治疗+常规治疗.对比两组平衡能力、平衡信心(ABC指数)、心理状态(SAS评分)、纯音听阈值、生活质量(SF-36 评分)、眩晕程度.结果 观察组平衡能力中较好、良好占比均高于对照组,而差的占比低于对照组(P<0.05);两组治疗后ABC指数、SF-36 评分高于治疗前,SAS评分、纯音听阈值低于治疗前,且与对照组对比,观察组以上各指标均更优(P<0.05);观察组轻度眩晕占比高于对照组,中度、重度眩晕占比均低于对照组(P<0.05).结论 前庭康复治疗可有效改善前庭功能减退患者的平衡能力与生活质量,在提升平衡信心、缓解焦虑状态、改善听力水平及减轻眩晕程度方面均具有积极作用.

Objective To study the effects of vestibular rehabilitation on balance ability and quality of life in patients with vestibular hypofunction.Methods The study subjects were 98 patients with vestibular hypofunction admitted to our hospital from January 2023 to December 2024,who were assigned via a random number table method to a control group(n=49)and an observation group(n=49),receiving conventional therapy and vestibular rehabilitation therapy+conventional therapy,respectively.Comparisons were made between the two groups in terms of balance ability,balance confidence(ABC index),mental status(SAS score),pure-tone hearing threshold,quality of life(SF-36 score),and vertigo severity.Results The proportions of patients with good and excellent balance ability in the observation group were both higher than those in the control group,whereas the proportion of patients with poor balance ability was lower than that in the control group(P<0.05);after treatment,the ABC index and SF-36 score in both groups were higher than those before treatment,while the SAS score and pure-tone hearing threshold were lower than those before treatment,and the above-mentioned indexes in the observation group were all superior to those in the control group(P<0.05);the proportion of patients with mild vertigo in the observation group was higher than that in the control group,while the proportions of patients with moderate and severe vertigo were both lower than those in the control group(P<0.05).Conclusion Vestibular rehabilitation therapy can effectively improve the balance ability and quality of life in patients with vestibular hypofunction,and exerts positive effects on enhancing balance confidence,alleviating anxiety status,improving hearing level and reducing the severity of vertigo.

刘亚;李亚楠;李景莉;张秀英;王淑珍

陆军第 81 集团军医院神经内科,河北 张家口 075000陆军第 81 集团军医院神经内科,河北 张家口 075000陆军第 81 集团军医院神经内科,河北 张家口 075000陆军第 81 集团军医院神经内科,河北 张家口 075000陆军第 81 集团军医院神经内科,河北 张家口 075000

医药卫生

前庭康复治疗前庭功能减退平衡能力生活质量

Vestibular rehabilitation therapyVestibular hypofunctionBalance abilityQuality of life

《医学信息》 2026 (8)

117-120,4

10.3969/j.issn.1006-1959.2026.08.021

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