鼻腔黏膜接触点性头痛患者的精神状态调查  

Investigation on the mental state of mucosa contact point headache patients

作　　者：孙艳[1] 陈凯[1] 叶远航[1] SUN Yah;CHEN Kai;YE Yuanhang(The People＇s Hospital of Meizhou,Meizhou 514031,China)

机构地区：[1]梅州市人民医院耳鼻喉一科,广东梅州514031

出　　处：《分子影像学杂志》2018年第3期402-405,共4页Journal of Molecular Imaging

摘　　要：目的通过对鼻腔黏膜接触点性头痛患者精神状况调查来探讨临床治疗方案。方法对2011年1月~2017年12月就诊于梅州市人民医院耳鼻咽喉科的鼻腔黏膜接触点性头痛患者及健康志愿者者进行汉密尔顿焦虑量表(HAMA)问卷调查,评价其精神状态。结果 32名鼻腔黏膜接触点性头痛患者HAMA评分6.875±5.072分,32名健康志愿者评分2.625±1.845分,两组差异具有统计学意义(F=17.286,P=0.000),其中两组焦虑心境(F=0.580,P=0.036)、害怕(F=30.393,P=0.000)、心血管系统症状(F=15.808,P=0.000)、呼吸系统症状(F=15.036,P=0.000)、胃肠道症状(F=31.598,P=0.000)、会谈时表现(F=24.785,P=0.000)评分差异均具有统计学意义。结论临床上鼻腔黏膜接触点性头痛患者焦虑状态高于健康人群,针对这部分患者要强调综合诊治,慎重选择外科手术。Objective To investigate the mental state of mucosa contact point headache patients with Hamilton anxiety scale（HAMA） and to conduct a preliminary study on the treatment plan.Method Thirty-two patients with mucosa contact point headache treated in our hospital from January 2011 to December 2017 and thirty-two healthy volunteers were included, and their mental state was evaluated by HAMA. Results The HAMA results of 32 cases with mucosa contact point headache and32 volunteers were 6.875±5.072 and 2.625±1.845 respectively. Significant differences in various anxiety features were found（F=17.286, P=0.000）： anxiety（F=0.580, P=0.036）, scare（F=30.393, P=0.000）, cardiorascular system symptoms（F=15.808, P=0.000）,respiratory system symptoms（F=15.036, P=0.000）,gastrointestinal symptoms（F=31.598, P=0.000）, and interview performance（F=24.785, P=0.000）.Conclusions Patients with mucosa contact point headache are significantly more anxious than healthy people; therefore, a comprehensive diagnosis and treat scheme should be formulated for these patients and surgical treatment should be chosen carefully.

关 键 词：鼻腔黏膜接触点性头痛 汉密尔顿焦虑量表 精神状态 

分 类 号：R741.041[医药卫生—神经病学与精神病学]