晕动病的精准前庭康复治疗

Efficacy of precise vestibular stimulation training for motion sickness

摘要:

目的 研究精准前庭康复训练对晕动病的治疗效果。方法 收集门诊62例晕动病患者，所有受试者在训练前2周内乘坐同一大巴车，乘坐30 min后采用视觉模拟评分量表（VAS）对其晕车症状进行自我评分；所有受试者接受3次精准前庭康复训练治疗。治疗后1周再次乘坐同样的大巴车，并再次行VAS评分。并分别按病情轻重、性别、年龄进行分组，将不同组别受试者治疗前、后晕动病症状得分进行比较，评价精准前庭康复治疗对晕动病的治疗效果。结果 所有受试者在精准前庭康复训练1周后其晕动病症状得分较训练前明显降低（8.18±4.67 vs 27.67±7.16，P<0.01），其中症状重度和极重度组较中度组治疗效果好（χ²=21.98，P<0.05）；男女受试者之间的治疗效果无明显差异（χ²=0.008，P>0.05）；青少年组治疗效果较青中年组好（χ²=5.57，P<0.05）。结论 精准前庭康复训练对晕动病有明显的治疗效果，可使晕动病敏感度降低，重度以上及青少年患者的治疗效果较明显。

Abstract:

Objective To investigate the efficacy of precise vestibular stimulation training to the subjects with motion sickness(MS). Methods A total of 62 outpatient patients with motion sickness in outpatient department were collected. All the subjects took the same bus within 2 weeks before the training,and the symptoms of motion sickness were self-rated by visual analogue scale (VAS) after 30min on bus. All subjects received 3 times of precise vestibular stimulation training,1 week after stimulation training, they took the same bus again, and then the severity of motion sickness symptoms self-scored by the VAS once more.The scores of motion sickness symptoms of the patients were compared for different groups before and after treatment to evaluate the therapeutic effect of accurate vestibular rehabilitation treatment on motion sickness. Results The scores of all subjects 1 week after precise vestibular stimulation training were significantly lower than those before training (8.18±4.67 vs 27.67±7.16, P<0.05),The training effect of the group with severe symptoms and extremely severe symptoms were better than that of the group with moderate symptoms(χ²=21.98,P<0.05). There was no significant difference between male and female subjects(χ²=0.008,P>0.05). The training effect of youth group was better than that of mid-aged group(χ²=5.57,P<0.05). Conclusions Precise vestibular stimulation training has obvious therapeutic effect to subjects with motion sickness, which can reduce the sensitivity of motion sickness. The training effect of the severe group and extremely severe group were better than that of the moderate group.