不同听力曲线分型突发性聋患者的生活质量状况调查  

Survey on the quality of life in patients with sudden hearing loss with different hearing curve typings

作　　者：孙雅娜[1] 李志海[2] 

机构地区：[1]浙江省台州市立医院心理科,浙江台州318000 [2]浙江省台州市立医院耳鼻咽喉科,浙江台州318000

出　　处：《中国现代医生》2016年第10期11-14,19,共5页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2012KYB241)

摘　　要：目的调查不同听力曲线分型突发性聋患者的生活质量状况。方法通过SCL-90症状自评量表,自2009年1月~2014年12月对268例突发性聋患者及58例健康对照者进行生活质量问卷调查,按照听力曲线将突发性聋患者分为低中频下降型、中高频下降型、平坦型及全聋型等四个组别,并对比分析总分值及各个因子评分的差异性。结果 SCL-90症状自评量表总分值在健康对照组、低中频下降型组、中高频下降型组、平坦型组及全聋型组之间差异有统计学意义（P〈0.05）,且呈现递增趋势;各组间总分值两两比较,差异均有统计学意义（P〈0.05）。SCL-90症状自评量表各个因子评分在健康对照组、低中频下降型组、中高频下降型组、平坦型组及全聋型组之间差异有统计学意义（P〈0.05）,其中抑郁、焦虑2个因子差异性更大（H〉100）,且呈递增趋势。低中频下降型组及中高频下降型组中,单纯耳聋患者、耳聋合并耳鸣患者、耳聋合并耳鸣眩晕患者三者间的SCL-90总分值差异无统计学意义（P〉0.05）;在平坦型组及全聋型组中,单纯耳聋患者、耳聋合并耳鸣患者、耳聋合并耳鸣眩晕患者三者间的SCL-90总分值差异具有统计学意义（P〈0.05）,且呈现递增趋势。结论突发性聋明显降低患者的生活质量,听力曲线不同,其影响不同,低中频下降型、中高频下降平坦型及全聋型患者中,其生活质量依次呈递减趋势。低中频下降型、中高频下降型、平坦型及全聋型患者中,产生抑郁、焦虑的可能性依次增大。耳鸣、眩晕症状对不同听力曲线类型患者的生活质量影响不同,其低中频下降型及中高频下降型患者的生活质量无明显影响,但对平坦型及全聋型生活质量有明显影响。Objective To investigate the life quality of patients with sudden deafness with different hearing curve typ- ings. Methods From January 2009 to December 2014, the life quality of 268 patients with sudden Hearig loss and 58 healthy subjects was documented using the Symptom Check List-90 （SCL-90） questionnaire. The patients were divided into four types according to the hearing curve： acute sensorineural hearing loss in low tone frequencies, acute ensorineural hearing loss in high tone frequencies, acute sensorineural hearing loss in all frequencies and total deafness. Then the difference of total scores and scores of each factor were compared among such four groups were analyzed. Results The differences of SCL-90 symptoms self rating scale total score value in healthy control group, low intermediate frequency descent type group, the high frequency type, flat type group and total deafness type groups were statistically significant （P〈0.05）, and showed a trend of increasing; Total score value pair, comparative differences between groups were statisti- cally significant（P〈0.05）. Each factor score of SCL-90 symptom self-evaluation scale in healthy control group, low inter- mediate frequency descent type group, the high frequency type, flat type group and total deafness type groups were sta- tistically significant （P〈0.05）, including depression, anxiety two factors, difference was bigger （H〉100）, and showed a trend of increasing. Of low intermediate frequency descent type group and the high frequency group, the differences of pure deafness patients, merger, deafness, tinnitus patients tinnitus patients with vertigo SCL-90 total score values were no statistically significant （P〉0.05）; In the group of flat type and total deafness, pure deafness patients, the differencesof merger, deafness, tinnitus patients tinnitus patients with vertigo SCL-90 total score values ,betweenn the three were statistically significant （P〈0.05）, and showed a trend of increasing. Conclusion Quality of li

关 键 词：突发性聋 生活质量 SCL-90自评量表 心理健康 

分 类 号：R764.4[医药卫生—耳鼻咽喉科]