慢性主观性头晕患者主观严重程度、刺激因素、行为学特征及睡眠质量调查  

Severity Perception, Trigger Factors, Behavioral Characteristics,and Sleep Quality in Patients with Chronic Subjective Dizziness

作　　者：曹效平 袁天懿 查曹兵[3] 秦玲 唐旭霞[1] 顾东胜[5] 

机构地区：[1]浙江中医药大学附属第一医院耳鼻咽喉头颈外科 [2]武警浙江省总队医院精神科 [3]武警浙江省总队医院神经内科 [4]浙江省桐乡市第一人民医院精神科 [5]武警浙江省总队医院耳鼻咽喉头颈外科

出　　处：《中华耳科学杂志》2017年第6期648-652,共5页Chinese Journal of Otology

基　　金：嘉兴市科技局科技计划(2015AY23062)~~

摘　　要：目的探讨慢性主观性头晕(CSD)的主观严重程度、刺激因素、行为学特征、睡眠质量。方法收集120例慢性主观性头晕患者的基本信息及临床资料,并采用眩晕残障程度评定量表(DHI)、汉密尔顿焦虑量表(HA-MA)、汉密尔顿抑郁量表(HAMD)和匹茨堡睡眠质量指数问卷(PSQI)评定患者的主观症状严重程度、行为学特征、睡眠及刺激因素等情况。结果 120例CSD患者中,DHI均分为54.08,头晕严重程度以中等障碍为主;CSD刺激因素中视觉刺激占65.8%,运动刺激占55.0%。65.8%的患者存在肯定的焦虑(HAMA≥14分),40.8%存在肯定的抑郁(HAMD≥17分),76.7%存在睡眠障碍(PSQI>7分)。结论 CSD的头晕程度以中等障碍为主,视觉刺激及运动刺激是CSD主要刺激因素,CSD与焦虑抑郁密切相关,CSD患者常伴发睡眠障碍。Objective To report perceived severity, trigger factors, behavioral characteristics, and sleep quality in patients with chronic subjective dizziness(CSD). Methods Clinical data of 120 patients with CSD were collected. The Disability Rating Scale(DHI), Hamilton Anxiety Scale(HAMA), Hamilton Depression Scale(HAMD) and Pittsburgh Sleep Quality Index(PSQI) were used to assess the severity of subjective symptoms, behavioral characteristics, sleep quality and trigger factors. Results The average DHI score was 54.08, and dizziness was reported to be mainly moderate. Visual stimulation was cited as trigger by 65.8% of patients, and motor stimulation by 55% of patients. Definite anxiety(HAMA≥14) was found in 65.8% of patients, definite depression(HAMD≥17) in 40.8% of patients, and sleep disorders(PSQI>7) in 76.7% of patients. Conclusion Dizziness in CSD patients is mainly rated as moderate. Visual stimulation and motor stimulation are the main trigger factors for CSD patients. Anxiety and depression are closely related to CSD, and patients often suffer from concurrent sleep disorders.

关 键 词：慢性主观性头晕 焦虑 抑郁 睡眠 

分 类 号：R764[医药卫生—耳鼻咽喉科]