不同周围性眩晕疾病患者焦虑/抑郁状态的比较  

Comparison of anxiety and depression state among patients with different type of vestibular peripheral vertigo

作　　者：袁庆[1] 史冬梅[2] 余力生[3] 柯星星[2] 张华[4] 

机构地区：[1]大连市中心医院耳鼻咽喉科,大连116021 [2]新疆维吾尔自治区人民医院耳鼻喉二科 [3]北京大学人民医院耳鼻咽喉科 [4]新疆医科大学第一附属医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第8期729-732,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:观察、评估临床上四种常见的前庭周围性眩晕患者的焦虑/抑郁状态,并分析其可能的原因。方法:收集四种常见的周围性眩晕疾病[良性阵发性位置性眩晕(BPPV)、前庭型偏头痛(VM)、梅尼埃病(MD)及前庭神经元炎(VN)]患者资料,完善耳科、神经耳科学检查及焦虑/抑郁自评量表的心理评估。结果:周围性眩晕患者129例,其中BPPV 49例,VM 37例,MD 28例,VN 15例。四组患者中,VM和MD组的焦虑自评量表和抑郁自评量表得分均高于BPPV和VN组,经单因素方差分析四组之间两种量表得分差异均有统计学意义(P<0.05)。VM和MD组焦虑发生率分别为45.9%和50.0%,抑郁发生率分别为27.0%和28.6%,均高于BPPV和VN组,经卡方检验四组患者之间焦虑/抑郁发生率差异具有统计学意义(P<0.05);经两两比较,BPPV与VM组、BPPV与MD组、MD与VN组焦虑/抑郁发生率差异均有统计学意义。结论:在常见的周围性眩晕疾病中,VM和MD患者更易伴发焦虑/抑郁状态,分析其可能的原因为不同疾病引发眩晕的机制不同及患者对眩晕发作的预防和控制能力不同。Objective：To investigate and analyze the status of anxiety and depression among patients with four types of peripheral vertigo.Method：The clinical data of patients with one of the four types of peripheral vertigo,namely benign paroxysmal positional vertigo（BPPV）,vestibular migraine（VM）,Menière′s disease（MD）,and vestibular neuritis（VN）,were collected.Thorough otological and neuro-otological examinations were performed on these patients,and their status of anxiety and depression were assessed using self-rating anxiety scale（SAS）and self-rating depression scale（SDS）.Result：A total of 129 patients with one of the four types of peripheral vertigo（49cases of BPPV,37 cases of VM,28 cases of MD and 15 cases of VN）were included in the study.The scores of SAS and SDS were higher in the patients with VM or MD than those with BPPV or VN（P〈0.05）,and the incidence of anxiety（VM=45.9% MD=50.0%）and depression（VM=27.0% MD=28.6%）were higher in the patients with VM or MD than those with BPPV or VN（P〈0.05）.Paired comparisons showed the differences between the incidences of BPPV and MV groups,BPPV and MD groups,and MD and VN groups were statistically significant（P〈0.05）.Conclusion：Among patients with different types of peripheral vertigo,anxiety/depression is more common in patients with VM or MD.This may be due to the different mechanisms involved in different types of vertigo,as well as differences in the prevention and self-control of the patients against the vertigo.

关 键 词：眩晕 精神疾病 焦虑 抑郁 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]