标题: | 脑卒中相关前庭康复评估与治疗中国专家共识 |
title: | Chinese expert consensus on stroke-related vestibular rehabilitation assessment and treatment |
版本: | 原创版 |
version: | Original |
分类: | 专家共识 |
classification: | Experts consensus |
领域: | 诊疗 |
field: | Diagnosis and Treatment |
国家和地区: | 中国 |
Country and region: | China |
指南使用者: | 神经内科医师、耳鼻喉科医师、康复医师、康复治疗师及护士; |
Guide users: | Neurologist、otolaryngologist、Rehabilitation Physician、Physical therapist and Nurse. |
证据分级方法: | JBI证据推荐级别系统(2014版本)或GRADE标准等级评价方法 |
Evidence grading method: | JBI Evidence Recommendation Level System (2014 version) or GRADE Standard Level Evaluation Method |
制定单位: | 天津市环湖医院 |
Formulating unit: | Tianjin Huanhu Hospital |
注册时间: | 2024-07-31 |
Registration time: | |
注册编号: | PREPARE-2024CN093 |
Registration number: | |
指南制订的目的: | 头晕、眩晕及姿势不稳等前庭症状是门急诊患者就诊的最常见主诉,脑卒中是引起前庭症状的重要原因,其持续存在不仅可能阻碍或加剧脑卒中患者的功能恢复进程,还易引发焦虑、抑郁等心理问题,约50%患者会在几年内转为慢性头晕,对患者的日常生活造成深远影响。然而脑卒中后引发的相关前庭症状在临床上未被广泛关注,临床医生除对症改善眩晕症状外,并无针对性的有效方法,很多康复医师与治疗师对前庭康复评估与治疗方法不甚了解,对此类患者预后及影响因素也尚不明确。鉴于上述情况,以及2009年Barany协会首次提出的前庭症状分类概念在国际上的影响,同时,国内在前庭康复领域,特别是脑卒中相关前庭康复方面,仍处于起步阶段,面临着评估与治疗标准缺失、规范化程度不足的问题,本共识通过整合国内外最新的研究成果与临床实践经验,详细阐述脑卒中后前庭症状特点,以及相关前庭康复评估与治疗内容,旨在完善脑卒中后具有前庭症状患者的全程管理,推动脑卒中相关前庭康复规范进行,从而改善患者的康复效果,提升生活质量。 |
Purpose of the guideline: | Vestibular symptoms, including dizziness, vertigo, and postural instability, are among the most common complaints presented by patients visiting emergency department and outpatient clinic. Stroke is a crucial factor contributing to these vestibular symptoms, and their persistence can hinder or exacerbate the functional recovery of stroke patients. Additionally, it can easily trigger psychological issues such as anxiety and depression, with approximately 50% of patients developing chronic dizziness within a few years, significantly impacting their daily lives. However, the related vestibular symptoms induced by stroke have not been widely recognized in clinical practice. Clinicians often focus solely on symptomatic relief for vertigo symptoms, lacking targeted and effective treatment methods. Many rehabilitation physicians and therapists also have limited understanding of assessment and treatment methods for vestibular rehabilitation. The prognosis and influencing factors of such patients remain unclear. Given these circumstances and considering the international impact of the vestibular symptom classification concept first proposed by the Barany Society in 2009, domestic vestibular rehabilitation, particularly in the context of stroke vestibular rehabilitation, is still in its early stages. It faces challenges such as the lack of assessment and treatment standards and insufficient standardization. This consensus integrates the latest research findings and clinical practice experiences from both domestic and international sources, detailing the characteristics of vestibular symptoms post-stroke and the related vestibular rehabilitation assessment and treatments. The aim is to improve the comprehensive management of stroke patients with vestibular symptoms, promote standardized stroke-related vestibular rehabilitation, enhance rehabilitation outcomes and improve patient’s quality of life. |
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