摘要
目的应用药物治疗联合前庭康复和心理干预治疗慢性主观性头晕(CSD)患者,评估其临床疗效,并比较对主观症状及负性情绪的改善作用。方法选择2016年1月至2017年9月在本院诊治的CSD患者150例,按随机数字表法分为对照组75例和研究组75例,对照组应用药物治疗,研究组应用药物治疗联合前庭康复和心理干预治疗。治疗1个疗程后,评估2组患者临床疗效,采用眩晕残障程度评定量表(DHI)、汉密尔顿焦虑量表(HAMA)及抑郁量表(HAMD)评估患者眩晕主观症状及焦虑、抑郁症状。结果研究组治疗后躯体、功能、情感和DHI总指数评分及HAMA和HAMD评分分别为(10.2±2.1)分、(11.1±2.6)分、(10.3±2.9)分、(22.6±4.1)分和(10.4±1.9)分、(11.1±2.0)分,均低于对照组治疗后(12.5±2.2)分、(13.2±2.9)分、(12.4±2.9)分、(28.3±4.2)分和(12.3±1.8)分、(13.6±1.9)分,差异有统计学意义(P<0.05)。研究组患者总有效率为93%(70/75),高于对照组81%(61/75),差异有统计学意义(P<0.05)。结论应用药物治疗联合前庭康复和心理干预治疗CSD患者,临床疗效显著,能够显著改善患者主观症状,减轻患者焦虑、抑郁等负性情绪。
Objective To evaluate the clinical efficacy of medication therapy combined with vestibular rehabilitation and psychological intervention for the treatment of patients with chronic subjective dizziness(CSD)and to compare the improvement of subjective symptoms and negative emotions.Methods From January 2016 to September 2017,150 patients with CSD who were diagnosed and treated at our hospital and randomly divided into control group(75 cases)and study group(75 cases).The control group received medication treatment,and the study group was treated with drug therapy,vestibular rehabilitation and psychological intervention therapy.After one course of treatment,the clinical efficacy was evaluated.The vertigo degree of disability(DHI),Hamilton Anxiety Scale(HAMA)and Depression Scale(HAMD)were used to evaluate the subjective symptoms of dizziness and anxiety and depressive symptoms.Results The somatosensory,functional,affective and DHI scores and HAMA and HAMD scores after treatment of the study group were(10.2±2.1)points,(11.1±2.6)points,(10.3±2.9)points,(22.6±4.1)points,and(10.4±1.9)points and(11.1±2.0)points,respectively.They were all lower than those of the control group(12.5±2.2)points,(13.2±2.9)points,(12.4±2.9)points,(28.3±4.2)points,(12.3±1.9)points and(13.6±1.9)points,respectively.There was statistically significant difference(P<0.05).The total effective rate of the study group was 93%(70/75),which was higher than that of the control group 81%(61/75),the difference was statistically significant(P<0.05).Conclusion The use of drug therapy combined with vestibular rehabilitation and psychological intervention for the treatment of patients with CSD has the significant clinical effect,and it can significantly improve the subjective symptoms of the patient and reduce the negative emotions such as anxiety and depression.
作者
陈东丽
王海洋
祎茹罕
Chen Dongli;Wang Haiyang;Yi Ruhan(Department of Neurology,Beijing Shunyi Airport Hospital,Beijing 101318,China)
出处
《山西医药杂志》
CAS
2018年第22期2658-2660,共3页
Shanxi Medical Journal
关键词
头晕
前庭康复
心理学
临床
Dizziness
Vestibular rehabilitation
Psychology,clinical
