突发性聋患者焦虑(抑郁)状态及其影响因素的分析  

Anxiety and depression in patients with sudden sensorineural hearing loss and its influencing factors

作　　者：赵凯[1] 许轶[1] 王铭歆 周慧芳[1] 

机构地区：[1]天津医科大学总医院耳鼻咽喉科,天津300052

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第22期1735-1739,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：天津市卫生局科技基金(No:2014KZ121)

摘　　要：目的:评估突发性聋患者的焦虑(抑郁)状态,并对影响焦虑(抑郁)状态发生的相关因素进行分析。方法:搜集198例中重度及以上突发性聋患者的资料,采用一般情况调查表及医院焦虑(抑郁)量表(HADS)对患者进行测试,对发生焦虑(抑郁)的患者在完成治疗后1周再次使用HADS对患者进行测试。结果:中重度及以上突发性聋患者焦虑的发生率为27.27%,抑郁的发生率为25.25%。不同人口统计学特征的人群焦虑(抑郁)的得分差异具有统计学意义(P<0.05),通过多因素Logistics回归分析显示焦虑(抑郁)状态受伴随症状、患其他疾病因素的影响。发生焦虑(抑郁)的患者完成治疗后1周与治疗前焦虑(抑郁)得分进行比较,有效组、显效组、痊愈组得分差异有统计学意义(P<0.05)。对治疗前后得分差值进行两两比较,无效组与其他3组比较以及痊愈组与其他3组比较焦虑(抑郁)差值均差异有统计学意义。结论:中重度及以上突发性聋患者焦虑(抑郁)问题相对较突出,受到伴随症状、患其他疾病因素的影响。治疗前后焦虑(抑郁)状态变化明显,在临床治疗过程中应该对患者焦虑(抑郁)状态及其影响因素予以重视,必要时进行心理干预、治疗。Objective：To evaluate the psychological status of anxiety and depression in patients with sudden sensorineural hearing loss,and to analyze the factors that affect the occurrence of anxiety and depression.Method：A total of 198 patients with moderate and severe sudden sensorineural hearing loss were enrolled.The patients were tested by general condition questionnaire and hospital anxiety and depression scale（HADS）.Patients who developed anxiety and depression were tested again using the HADS at 1 week after completion of the treatment.Result：The incidence of anxiety was 27.27% in patients with moderate and severe sudden sensorineural hearing loss,and the incidence of depression was 25.25%.The scores of anxiety and depression were statistically significant（P0.05）.The multivariate logistic regression analysis showed that the status of anxiety and depression was accompanied by symptoms and other diseases（P0.05）.There was a significant difference between the effective group,the significant efficacy group and the cured group（P0.05）.The difference between the scores before and after treatment was compared.Differences in the ineffective group compared with the other three groups,and the cured group compared with the other three groups of anxiety,depression were statistically significant.Conclusion：The problem of anxiety and depression in patients with moderate and severe sudden sensorineural hearing loss is relatively prominent,and the symptoms of anxiety and depression are obviously affected by the symptoms and other diseases.After treatment,anxiety and depression status changes significantly.In clinical practice,anxiety and depression and its influencing factors should be taken into account for the treatment of the patients with severe sudden sensorineural hearing loss.

关 键 词：突发性聋 焦虑 抑郁 医院焦虑(抑郁)量表 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]