前庭电刺激在前庭周围性疾病的临床应用效果分析
投稿时间:2015-03-20  修订日期:2015-03-25  点此下载全文
引用本文:周波,杨皖菁,王勇,崔勇.前庭电刺激在前庭周围性疾病的临床应用效果分析[J].医学研究杂志,2015,44(11):81-84
DOI: 10.11969/j.issn.1673-548X.2015.11.023
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作者单位E-mail
周波 442000 十堰, 湖北医药学院附属东风医院耳鼻喉科  
杨皖菁 442000 十堰, 湖北医药学院附属东风医院耳鼻喉科 yangwj7683@163.com 
王勇 442000 十堰, 湖北医药学院附属东风医院耳鼻喉科  
崔勇 510080 广州, 广东省人民医院  
基金项目:广东省医学研究基金资助项目(A2014040)
中文摘要:目的 探讨前庭电刺激在前庭周围性疾病的临床应用效果。方法 前庭周围性疾病导致头晕患者120例采用抽签法随机分为治疗组与对照组各60例,对照组给予常规药物治疗,治疗组在此基础上给予前庭电刺激治疗,两组分别治疗4周。结果 治疗后,治疗组的有效率为96.7%,对照组的有效率为85.0%,治疗组的治疗效果明显比对照组高(P<0.05)。治疗后两组的ABCD2评分都明显降低,与治疗前对比差异有统计学意义(P<0.05),同时治疗后治疗组的ABCD2评分明显低于对照组(P<0.05)。两组治疗后的基底动脉与椎动脉血流速度都明显增加,同时治疗后治疗组的基底动脉与椎动脉血流速度明显高于对照组(P<0.05)。治疗后,两组的扫视速度与延时时长都明显增加(P<0.05),同时,治疗组的扫视速度与延时时长均明显比对照组高(P<0.05)。结论 前庭电刺激在前庭周围性疾病导致头晕患者治疗中的应用能有效改善脑血流状况,促进前庭功能的提高,从而使得ABCD2评分有所降低,从而提高预后疗效。
中文关键词:前庭电刺激  前庭周围性疾病  头晕  血流速度  ABCD2评分
 
Clinical Application of Vestibular Stimulation for the Peripheral Vestibular Disease.
Abstract:Objective To investigate the clinical application of vestibular stimulation for the peripheral vestibular disease. Methods Totally 120 peripheral dizziness patients caused by vestibular disease based on the principle of a random draw were equally into the treatment group and the control group. Those in the control group received conventional therapy, thmd theose in the treatment group received vestibular stimulation treatment on this basis, for 4 weeks. Results After treatment, the response rates in the treatment group and the control group were 96.7% and 85.0% respectively and the response rate of the treatment group was significantly higher(P<0.05). After treatment, the ABCD2 scores were significantly lower tham before treatment and the differences wore significant(P<0.05), while ABCD2 scores in the treatment group were significantly lower than the control group after treatment(P<0.05). The basilar artery and vertebral artery blood flow velocity in the two groups were significantly increased after treatment, while the basilar artery and vertebral artery blood flow velocity in the treatment group were significantly higher than the control group after treatment(P<0.05). The saccade velocity and delay time in the two groups were significantly increased after treatment, while the saccade velocity and delay time in the treatment group were significantly higher than the control group after treatment(P<0.05). Conclusion The vestibular stimulation in dizziness patients caused by peripheral vestibular disease can effectively improve cerebral blood flow, promote the improvement of the vestibular function that maks ABCD2 score decreased, thereby improve the prognosis of efficacy.
keywords:Vestibular stimulation  Peripheral vestibular disease  Dizziness  Blood flow velocity  ABCD2 score
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