Effects of constructing vestibular rehabilitation exercise platform based on BS model on vertigo symptoms, balance ability and anxiety of vertigo patients
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摘要: 目的 探讨基于浏览器服务器(BS)模式构建前庭康复锻炼平台对眩晕患者的眩晕症状、平衡能力、焦虑情绪的影响。方法 回顾性分析110例眩晕患者的临床资料，将2019年3月至2020年5月接受常规前庭康复锻炼的患者设置为对照组(55例)，将2020年6月至2021年12月接受基于BS模式的前庭康复锻炼平台指导的患者设置为研究组(55例)。比较2组的Fugl-Meyer平衡评估量表(FMA)、医院焦虑抑郁量表(HAD)、眩晕障碍量表(DHI)、生活质量量表(SF-36)、眩晕视觉模拟评分(VAS)、伯格平衡量表(BBS)评分，康复治疗效果及康复锻炼依从性。结果 康复锻炼前，2组DHI、VAS、FMA、BBS、HAD、SF-36评分差异无统计学意义(P>0.05)；锻炼3个月后，研究组的DHI、HAD、VAS评分低于对照组，FMA、BBS、SF-36评分高于对照组(P < 0.05)。研究组的康复疗效优良率与治疗依从率高于对照组(P < 0.05)。结论 基于CS模式的前庭康复锻炼平台能够改善眩晕患者肢体运动与平衡能力，减轻患者眩晕症状与心理焦虑，提高患者康复治疗效果与依从性。Abstract: Objective To explore the effect of vestibular rehabilitation exercise platform based on browser server(BS) mode on vertigo symptoms, balance ability and anxiety of vertigo patients.Methods The clinical data of 110 patients with vertigo in our hospital were retrospectively analyzed. The patients who received routine vestibular rehabilitation exercise from March 2019 to may 2020 were set as the control group (55 cases), and the patients who received vestibular rehabilitation exercise platform guidance based on BS mode from June 2020 to December 2021 were set as the study group (55 cases). The scores of Fugl Meyer balance assessment scale(FMA), hospital anxiety and Depression Scale(had), vertigo disorder scale(DHI), quality of life scale(SF-36), vertigo visual analog scale(VAS), Berg Balance Scale(BBS), rehabilitation treatment effect and rehabilitation exercise compliance were compared between the two groups.Results before rehabilitation exercise, there was no significant difference in the scores of DHI, VAS, FMA, BBS, had and SF-36 between the two groups(P>0.05). After 3 months of exercise, the scores of DHI, had and vas in the study group were lower than those in the control group, and the scores of FMA, BBS and SF-36 in the study group were higher than those in the control group(P < 0.05). The excellent and good rate of rehabilitation efficacy and treatment compliance rate in the study group were higher than those in the control group(P < 0.05).Conclusion The vestibular rehabilitation exercise platform based on CS mode can improve the limb movement and balance ability of patients with vertigo, reduce the vertigo symptoms and psychological anxiety, and improve the rehabilitation treatment effect and compliance of patients.
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Key words:
- dizziness /
- browser server /
- balance ability /
- vestibular rehabilitation training platform /
- anxiou
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表 1 2组患者一般资料比较
组别 例数 年龄/岁 眩晕病程/周 体重指数/kg/m2 性别/例(%) 文化水平/例(%) 男 女 初中及以下 高中 大学及以上 研究组 55 58.73±3.26 8.38±0.83 21.15±1.31 28(50.91) 27(49.09) 25(45.45) 20(36.36) 10(18.18) 对照组 55 58.68±3.14 8.26±0.79 21.08±1.10 30(54.55) 25(45.45) 27(49.09) 19(34.55) 9(16.36) t/χ2 0.082 0.777 0.304 0.146 0.155 P 0.935 0.439 0.762 0.702 0.925 
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表 2 2组患者眩晕症状比较
X±S 组别 例数 DHI/分 VAS/分 T0 T1 T0 T1 研究组 55 59.05±4.59 30.75±3.76 6.13±1.93 2.49±0.33 对照组 55 58.86±4.40 43.67±4.61 6.20±1.85 3.19±0.45 t 0.222 16.107 0.194 9.303 P 0.825 < 0.001 0.846 < 0.001
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表 3 2组患者平衡能力比较
X±S 组别 例数 FMA/分 BBS/分 T0 T1 T0 T1 研究组 55 66.20±3.67 84.32±3.68 39.90±1.16 54.67±1.52 对照组 55 66.05±3.49 76.57±4.96 39.96±1.21 50.96±1.83 t 0.220 9.306 0.266 11.566 P 0.827 < 0.001 0.791 < 0.001
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表 4 2组患者心理状态与生活质量比较
X±S 组别 例数 HAD-焦虑/分 SF呵36/分 HAD-抑郁/分 T0 T1 T0 T1 T0 T1 研究组 55 8.43±0.52 3.76±0.20 63.85±7.76 80.24±9.22 9.05±0.43 4.05±0.27 对照组 55 8.50±0.48 5.08±0.31 64.11±7.90 73.59±8.41 8.95±0.39 5.46±0.32 t 0.734 26.535 0.174 3.952 1.278 24.975 P 0.465 < 0.001 0.862 < 0.001 0.204 < 0.001
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表 5 2组患者康复治疗效果比较
例(%) 组别 例数 优 良 差 优良率 研究组 55 34(61.82) 19(34.55) 2(3.64) 53(96.36) 对照组 55 23(41.82) 22(40.00) 10(18.18) 45(81.82) χ2 4.583 P 0.032
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表 6 2组患者康复锻炼依从性比较
例(%) 组别 例数 依从良好 依从一般 依从性差 依从率 研究组 55 43(78.18) 9(16.36) 3(5.45) 52(94.55) 对照组 55 26(47.27) 13(23.64) 16(29.09) 39(70.91) χ2 10.752 P 0.001
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