检验医学与临床2025，Vol.22Issue(15)：2017-2021,5.DOI:10.3969/j.issn.1672-9455.2025.15.001
前庭康复训练联合倍他司汀治疗中枢性眩晕的临床研究
Clinical research on vestibular rehabilitation training combined with betahistine in the treatment of central vertigo
摘要
Abstract
Objective To analyze the clinical efficacy on vestibular rehabilitation training combined with betahistine in the treatment of central vertigo.Methods A total of 100 patients with central vertigo admitted to the hospital from January to July 2024 were selected as the research subjects and divided into the control group and the observation group according to the random number table method,with 50 cases in each group.The control group was given oral betahistine on the basis of conventional symptomatic treatment,and the ob-servation group was given vestibular rehabilitation training on the basis of the control group.The cerebral he-modynamic indicators before and after treatment in the two groups were compared.The Vertigo Disorder Scale(DHI),Berg Balance Scale(BBS),and Timed Up and GO Test(TUG)time were used to evaluate the severity of vertigo symptoms,balance function and walking movement function in the two groups,and the quality of life in the two groups was also compared.Results After treatment,the blood flow velocities of the basilar artery,left vertebral artery and right vertebral artery in both groups were faster than those before treatment,and the scores of DHI-physical(P),DHI-emotional(E)and DHI-functional(F)in both groups were lower than those before treatment.The scores of BBS,mental health,emotional role,physical role,social function and overall health in both groups were higher than those before treatment.The TUG time in both groups were shorter than those before treatment.The differences were all statistically significant(P<0.05).After treatment,the blood flow velocities of the basilar artery,left vertebral artery and right vertebral artery in the observation group were faster than those in the control group,the scores of DHI-P,DHI-E and DHI-F in the observation group were lower than those in the control group,the scores of BBS,mental health,emotional role,physical role,social function and overall health in the observation group were higher than those in the control group,and the TUG time in the observation group was shorter than that in the control group.The differences were all statistically significant(P<0.05).Conclusion Vestibular rehabilitation training com-bined with betahistine treatment can effectively improve the cerebral blood flow of patients with central verti-go,relieve the vertigo symptoms of patients,and enhance the balance function,walking motor function and quality of life of patients.关键词
前庭康复训练/倍他司汀/中枢性眩晕/平衡功能/步行运动功能/生存质量Key words
vestibular rehabilitation training/betahistine/central vertigo/balance function/walk-ing exercise function/quality of life分类
医药卫生引用本文复制引用
候丽芳,于磊,王迎,刘斌..前庭康复训练联合倍他司汀治疗中枢性眩晕的临床研究[J].检验医学与临床,2025,22(15):2017-2021,5.基金项目
黑龙江省卫生健康委员会科研课题(20230303070052). （20230303070052）
