突聋伴眩晕患者焦虑和抑郁状态的临床研究  

Clinical research of anxiety and depression state among patients suffered from sudden deafness with vertigo

作　　者：邢英姿[1] 裴建军 孙玉涛[3] 李淑静[1] 赵姝[1] 刘雅静[1] 李立群[1] 侯庆军[1] 王东海[1] 

机构地区：[1]唐山市协和医院耳鼻咽喉头颈外科,河北唐山063000 [2]华北理工大学附属医院血管外科 [3]唐山市第五医院门诊科

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第24期1919-1922,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：2017年度河北省医学科学研究重点课题计划(No:20171308)

摘　　要：目的:通过分析突聋伴眩晕患者焦虑和抑郁状态及影响因素,为有效治疗提供客观依据。方法:收集80例单耳突聋伴眩晕患者(突聋伴眩晕组)、80例单耳突聋不伴眩晕患者(突聋不伴眩晕组)及60例正常听力者(正常对照组),采用汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)进行量化分析,比较各组评分结果。结果:(1)突聋伴眩晕组HAMA评分较突聋不伴眩晕组及正常对照组均明显增高(P<0.01);突聋伴眩晕组HAMD评分较突聋不伴眩晕组及正常对照组均明显增高(P<0.01)。(2)HAMA与性别、年龄、眩晕持续时间、耳鸣、头晕残障量表(DHI)及疗效分级均相关(均P<0.05),与平均听阈、城乡分布、耳闷不相关(P>0.05);HAMD与性别、年龄、耳鸣、DHI及疗效分级相关(均P<0.05),与平均听阈、眩晕持续时间、城乡分布、耳闷不相关(P>0.05)。结论:突聋伴眩晕患者存在焦虑、抑郁状况,主要与性别、年龄、眩晕持续时间、耳鸣、DHI及疗效分级相关,在临床诊疗过程中应增加对患者精神心理状态的关注,及早给予心理疏导或治疗,以提高疗效。Objective：To offer the objective evidences for the diagnosis by analyzing anxiety and depression among patients with sudden deafness and vertigo and their possible causes.Method：Eighty patients with sudden deafness and vertigo of single ear as the observation group;80 patients with sudden deafness without vertigo and60 healthy people as control group.Hamilton anxiety scale（HAMA）,Hamilton depression scale（HAMD）are used for quantitative analysis and compare the results of each group score.Result：（1）The HAMA score of the deafness group with vertigo was significantly higher than that of the group without vertigo and the healthy group（P0.01）.The HAMD score of the deafness group with vertigo was significantly higher than that of the group without vertigo and the healthy group（P0.01）.（2）There was correlation between HAMA and sex,age,duration of dizziness,tinnitus,DHI and efficacy grading（P0.05）.There was no correlation between HAMA and the mean hearing threshold,urban and rural distribution,ear fullness（P0.05）.There was a correlation between HAMD and sex,age,tinnitus,DHI and efficacy grading（P0.05）.There was no correlation between HAMD and the mean hearing threshold,duration of dizziness,urban and rural distribution,ear fullness（P0.05）.Conclusion：There are anxiety and depression in patients with deafness and vertigo.It is mainly related to sex,age,dizziness duration,tinnitus,DHI and grade of efficacy.It is necessary to pay attention to the mental state of patients in clinical treatment.Psychological counseling or treatment can be used to improve clinical efficacy.

关 键 词：听觉丧失 突发性 眩晕 汉密顿焦虑量表 汉密顿抑郁量表 头晕残障量表 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]