The effect of topiramate or carbamazepine treatment on the quality of life in patients with vestibular paroxysmia
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摘要: 目的:研究前庭阵发症(VP)患者抗癫痫药物治疗前后生活质量(QOL)的变化。方法:选取2012-09-2015-09期间在神经内科门诊就诊的35例VP患者,采用SF-36健康调查量表(SF-36)和眩晕障碍量表(DHI)对患者的QOL进行调查与评估.统计分析治疗前后QOL的改变。结果:VP患者接受抗癫痫药物治疗1个月后,SF-36量表中生理功能、生理职能、总体健康、活力、社会功能和情感职能等6个维度评分较治疗前明显提高,差异有统计学意义(P<0.01);DHI量表中的情感、功能、躯体评分和三项总分较治疗前明显降低,差异有统计学意义(P<0.01)。结论:抗癫痫药物可明显改善VP患者的QOL,SF-36和DHI量表能有效评估VP患者的QOL。Abstract: Objective: To study the effect of topiramate or carbamazepine treatment on the quality of life (QOL) in patients with vestibular paroxysmia(VP).Method: Thirty-five cases diagnosed as VP from September 2012 to September 2015 were retrospectively studied. Medical outcomes study short form(SF-36)and the dizziness handicap inventory(DHI) were used to analyze the QOL.Result: After topiramate or carbamazepine treatment for one month, the scores of physical function, role physical, general health, vitality, social functioning, role emotional in SF-36 were significantly increased than pre-treatment(P<0.01); and the scores of emotion, function and physiology in DHI were significantly decreased than pre-treatment(P<0.01).Conclusion: Topiramate and carbamazepine may obviously improve the QOL of VP patients.The SF-36 and DHI scales could reflect the change of QOL in VP patients.
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Key words:
- vestibular paroxysmia /
- carbamazepine /
- quality of life /
- dizziness handicap inventory
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