河北医科大学学报 ›› 2024, Vol. 45 ›› Issue (7): 750-755.doi: 10.3969/j.issn.1007-3205.2024.07.002

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半规管冲突刺激训练在突发性耳聋伴眩晕治疗中的价值

  

  1. 河北省石家庄市人民医院耳鼻咽喉头颈外科,河北 石家庄 050011

  • 出版日期:2024-07-25 发布日期:2024-07-18
  • 作者简介:赵颖(1977-),女,河北衡水人,河北省石家庄市人民医院副主任医师,医学硕士,从事耳鼻咽喉头颈外科疾病诊治研究。
  • 基金资助:
    河北省医学科学研究重点课题计划(20201417)

The value of stimulation training semicircular canal in the treatment of sudden deafness complicated with vertigo

  1. Department of Otolaryngology Head and Neck Surgery, the People′s Hospital of Shijiazhuang City, Hebei Province, Shijiazhuang 050011, China

  • Online:2024-07-25 Published:2024-07-18

摘要: 目的 评价SRM-Ⅳ眩晕诊疗系统半规管冲突刺激训练在突发性耳聋伴眩晕的康复治疗和疗效评估中的作用。
方法 选择突发性耳聋伴眩晕患者38例,采用随机信封方法进行分组,对照组12例、治疗1组13例、治疗2组13例。对照组采用药物治疗,治疗1组采用药物治疗+前庭康复训练,治疗2组采用药物治疗+前庭康复训练+半规管冲突刺激训练。分别在治疗1周、2周、4周时比较3组旋转试验转阴率、眩晕残障量表(dizziness handicap inventory,DHI)评分、焦虑自评量表(self-rating anxiety scale,SAS)评分。
结果 治疗2组在治疗2周、4周的旋转试验转阴率与对照组和治疗1组比较明显增加(P<0.05)。随治疗时间延长,3组DHI评分、SAS评分均呈逐渐降低趋势,治疗2组降低趋势最明显,组间、时点间、组间·时点间交互作用差异均有统计学意义(P<0.05)。
结论 SRM-IV眩晕诊疗系统高强度前庭功能训练在突发性耳聋伴眩晕的治疗、评估工作中具有一定的作用,其疗效好、患者依从性好,值得在临床工作中推广应用。


关键词: 聋, 眩晕, 半规管冲突刺激训练

Abstract: Objective To evaluate the role of stimulation training of semicircular canal of SRM-IV vertigo diagnosis and treatment system in the rehabilitation treatment and efficacy evaluation of sudden deafness complicated with vertigo. 
Methods A total of 38 patients with sudden deafness and vertigo were selected and divided into control group (n=12), treatment group one (n=13) and treatment group two (n=13) according to random envelope method. The control group was treated with drugs, treatment group one was treated with drugs and vestibular rehabilitation training, and treatment group two was treated with stimulation training of semicircular canal on the basis of drug treatment and vestibular rehabilitation training. At 1 week, 2 weeks and 4 weeks after treatment, positive-to-negative conversion rate of rotation test, dizziness handicap inventory (DHI) score and self-rating anxiety scale (SAS) score of the three groups was compared. 
Results Compared with the control group and treatment group one, the positive-to-negative conversion rate of rotation test in treatment group two significantly increased at 2 and 4 weeks after treatment (P<0.05). With the prolongation of treatment time, the DHI scores and the SAS scores of the three groups showed a gradually decreasing trend, with treatment group two showing the most significant decrease, and the differences in interaction between groups, time points, and time points between groups were statistically significant (P<0.05). 
Conclusion The high-intensity vestibular function training of the SRM-IV vertigo diagnosis and treatment system plays a certain role in the treatment and evaluation of sudden deafness complicated with dizziness, showing good therapeutic effect and patient compliance, which is, therefore, worthy of popularization and application in clinical practice.


Key words: deafness, vertigo, stimulation training of semicircular canal