【摘要】 目的探讨确诊型前庭性偏头痛(dVM)患者临床特征及Cawthorne-Cookeey和虚拟现实(VR)两种前庭康复操分别对眩晕障碍量表评分(DHI)、欧洲五维健康量表评分(EQ-5D)的影响。方法选定本院2020年1月至2021年5月收诊的120例dVM患者,随机法分为试验组1(40例,Cawthorne-Cookeey前庭康复训练组)、试验组2(40例,VR虚拟环境训练组)与对照组(40例,无康复训练组)3组。观察分析120例dVM患者的各项临床特征,并比较三组治疗后4周的DHI评分、EQ-5D评分。结果120例dVM患.者多发.于女性,以中青年为主,常有自发性眩.晕、无.先兆偏头痛及持续性前庭症.状等,.且既往多存.在头痛史、晕车史。试验组1.dVM患.者的DHI评分(1424±139)分,.试验.组2dVM患者的DHI评分(112.5±1EQ-5D评分(7561±991)分,试验组2EQ-5D评分(7851±950)分,均高于对照组的(571。结论前庭康复操有助于改善dVM患者的眩晕症状,提升其整体健康水平,其中VR前庭康复训练优于Cawthorne-Cookeey康复训练法。更多还原

【Abstract】 Objective To investigate the clinical characteristics of patients with definite vestibular migraine(dVM) and the clinical characteristics of Cawthorne-Cookeey and virtual reality(VR) two kinds of vestibular rehabilitation exercises were used to score Dizziness Handicap Inventory(DHI) respectively and five-dimensional instrument of Euro Qol questionnaire(EQ-5 D). Methods A total of 120 patients with dVM treated in the hospital were selected between January 2020 and May 2021 and the patients were divided into three groups: experimental group 1(40 cases,Cawthorne-Cookeey vestibular rehabilitation group), experimental group 2(40 cases, VR virtual environment training group) and control group(40 cases, no rehabilitation training group). The clinical characteristics of 120 patients with dVM were observed and analyzed, and DHI score and EQ-5 D score of the three groups were compared at 4 weeks after treatment. Results dVM mostly occurred in women among 120 cases of patients,mainly young and middle-aged, and the patients often had spontaneous vertigo, migraine without aura, and persistent vestibular symptoms,with a history of headaches and a history of carsickness in the past.The DHI score of dVM group 1 and dVM group 2 was(14.24±1.39) and(11.25±1.36), both lower than that of control group(31.51±4.54)(P<0.05). The EQ-5 d score of the first and second groups was(75.61±9.91)and(78.51±9.50) both of which were higher than that of the control group(57.79±8.58),(P<0.05). Both DHI and EQ-5 D in test group 2 were superior to those in test group 1. Conclusion Vestibular rehabilitation exercises can help improve the vertigo symptoms and enhance the overall health of patients with dVM.更多还原