前庭神经炎的临床治疗分析

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	英文篇名：Analysis of Clinical Treatment of Vestibular Neuritis 作者：刘艳华 英文作者：LIU Yan-hua;Department of Neurology,Changchun Central Hospital; 关键词：前庭神经炎 ; 临床治疗 ; 效果与分析 英文关键词：Vestibular neuritis;;Clinical treatment;;Effect and analysis 中文刊名：XTYX 英文刊名：Systems Medicine 机构：长春市中心医院神经内科; 出版日期：2017-08-20 出版单位：系统医学 年：2017 期：v.2;No.28 语种：中文; 页：XTYX201716016 页数：3 CN：16 ISSN：10-1369/R 分类号：37-38+41

摘要

目的探讨前庭神经炎的临床表现和治疗。方法对该科2015年2月—2017年2月收治的88例前庭神经炎患者进行治疗,随机分为2组各44例,A组给予急性期对症、慢性期前庭康复训练,B组在A组基础上给予泼尼松治疗,比较效果。结果两组治疗后较治疗前DHI评分显著降低(P<0.05);治疗后A组DHI(8.4±5.7)分、B组DHI(6.1±4.1)分,B组优于A组,但比较差异无统计学意义(P>0.05);治疗后B组眩晕、自发性眼震恢复分别为90.9%、81.5%,与A组比较差异无统计学意义(P>0.05)。结论急性期对症、皮质激素、慢性期前庭康复训练是治疗前庭神经炎的主要方法,值得在临床推广。
        Objective To study the clinical manifestations and treatment of vestibular neuritis. Methods 88 cases of patients with vestibular neuritis from February 2015 to February 2017 were selected and randomly divided into two groups with 44 cases in each, the group A adopted the symptomatic and chronic pre-stage vestibular rehabilitation training, and the group B adopted the metacortandracin treatment on the basis of the group A, and the effect was compared between the two groups. Results The DHI score of the two groups obviously decreased compared with that before treatment(P<0.05), after treatment, the DHI score in the group B was better than that in the group A, [(8.4±5.7)points vs(6.1±4.1)points], and the difference was not obvious(P>0.05), after treatment, the recovery rates of dizziness and spontaneous nystagmus were respectively 90.9% and 81.5%, and there were no differences between the two groups(P>0.05).Conclusion The acute-stage symptomatic, cortical hormone and chronic-phase vestibular rehabilitation training is a major method of vestibular neuritis, which is worth clinical promotion.

引文

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