突发性耳聋患者的心理状态及其对预后影响的研究  

Mental Status of Patients with Sudden Deafness and its Effect on Prognosis

作　　者：马秀茹[1] 吴永波[2] 张素辉[3] 贾立峰[4] 白玉娟[1] 崔丽萍[1] 

机构地区：[1]石家庄市第三医院耳鼻咽喉科 [2]石家庄市公安局刑警支队技术大队法医室 [3]石家庄市第八医院心理危机干预中心 [4]93498部队

出　　处：《临床误诊误治》2014年第6期73-75,共3页Clinical Misdiagnosis & Mistherapy

基　　金：河北省2011年医学科学研究重点课题(20110557)

摘　　要：目的探讨突发性耳聋(突聋)患者的心理状态及其对预后的影响。方法随机抽取我院收治的突聋患者40例(突聋组)和同期健康体检者40例(对照组),采用焦虑状态/特质问卷(state-trait anxiety inventory,STAI)、对两组进行问卷调查并进行比较。结果突聋组的焦虑状态(S-Anxiety,S-AI)和焦虑习性(T-Anxiety,T-AI)总分、抑郁自评量表(self-rating depression scale,SDS)总分均高于对照组,差异有统计学意义(P<0.05);突聋组伴焦虑、抑郁者治疗总有效率为66.67%,明显低于不伴焦虑、抑郁者(94.12%),差异具有统计学意义(P<0.05)。结论突聋患者焦虑、抑郁情绪明显,对此类患者应加强心理干预,以提高治疗效果及生活质量。Objective To explore mental status of patients with sudden deafness and its effect on prognosis. Methods The questionnaire was filled in by 40 patients with sudden deafness（ sudden deafness group） and 40 healthy person received medical examination（ control group） by using state-trait anxiety inventory（ STAI）,and the results in the two groups were compared. Results The total scores of the S-Anxiety（ S-AI）,T-Anxiety（ T-AI） and self-rating depression scale（ SDS） in sudden deafness group were significantly high than those in control group（ P 〈0.05）; in sudden deafness group,the total efficacy rate of treatment of anxiety and depression was 66. 67% in patients with anxiety and depression,which was significantly lower,compared with the 94. 12% in patients without anxiety and depression,and the different was statistically significant（ P 〈0. 05）. Conclusion The incidence rate of anxiety and depression in sudden deafness patients is high. So clinicians should strengthen mental intervention in order to improve the therapeutic effect and quality of life of the patients.

关 键 词：突发性耳聋 心理状态 焦虑情绪 治疗效果 

分 类 号：R764.437[医药卫生—耳鼻咽喉科]