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重复经颅磁刺激治疗慢性前庭综合征疗效评价
引用本文:李佳威,刘晓阳,杨星昱,孙晓明,李曦丹. 重复经颅磁刺激治疗慢性前庭综合征疗效评价[J]. 山东大学耳鼻喉眼学报, 2021, 35(1): 7-10. DOI: 10.6040/j.issn.1673-3770.0.2020.060
作者姓名:李佳威  刘晓阳  杨星昱  孙晓明  李曦丹
作者单位:大连市第三人民医院 神经电生理科, 辽宁 大连 116000
基金项目:辽宁省科学计划指导项目(20180550412)。
摘    要:目的 探讨重复经颅磁刺激(rTMS)治疗慢性前庭综合征(CVS)的疗效.方法 慢性前庭综合征(CVS)患者60例,随机数字法分为对照组和治疗组各30例,两组均进行垂直方向和水平方向的平稳跟踪眼动练习,治疗组另加以rTMS治疗4周.以治疗前后两组患者的头晕评价量表(DHI)评分、冷热试验单/双侧半规管反应减退(UW)值为...

关 键 词:重复经颅磁刺激  前庭综合征  前庭康复  冷热试验  头晕评价量表

Effect of repetitive transcranial magnetic stimulation on chronic vestibular syndrome
LI Jiawei,LIU Xiaoyang,YANG Xingyu,SUN Xiaoming,LI Xidan. Effect of repetitive transcranial magnetic stimulation on chronic vestibular syndrome[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(1): 7-10. DOI: 10.6040/j.issn.1673-3770.0.2020.060
Authors:LI Jiawei  LIU Xiaoyang  YANG Xingyu  SUN Xiaoming  LI Xidan
Affiliation:Department of Electrophysiology Science, Dalian Third People's Hospital, Dalian 116000, Liaoning, China
Abstract:Objective This study aimed to investigate the effect of repetitive transcranial magnetic stimulation(rTMS)on chronic vestibular syndrome(CVS).Methods Sixty patients with chronic vestibular syndrome(CVS)were randomly divided into a control group and a treatment group,each with 30 patients.Patients in both groups performed eye-tracking exercises in the vertical and horizontal directions.The treatment group was treated with rTMS for 4 weeks.The dizziness evaluation scale(DHI)score and unilateral/bilateral semicircular canal response(UW)values of the two groups before and after treatment were compared and analyzed.Results There was no significant difference in DHI score between the treatment group and the control group before treatment(P=0.872)while there was no significant difference in UW value between hot and cold test(P=0.079).However,after treatment,the difference of DHI score was statistically significant between the two groups(P<0.01)and the UW value of cold and hot test decreased,and the difference was statistically significant(P=0.02),There were significant differences in DHI score and UW value between the two groups before and after treatment(P<0.01),The difference in DHI score before and after treatment in the treatment group was 39.40 points,while the difference in DHI score before and after treatment in the control group was 25.67 points,the difference in UW score before and after treatment in the treatment group was 16.03,and the difference in UW score before and after treatment in the control group was 12.03.Conclusion rTMS is effective in the treatment of CVS and is good for promoting the establishment of vestibular compensation.
Keywords:Repetitive transcranial magnetic stimulation  Chronic vestibular syndrome  Vestibular rehabilitation  Caloric test  Dizziness evaluation scale
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