心理干预联合前庭康复训练对合并焦虑抑郁的前庭神经炎患者疗效观察  

Effect of Psychological Intervention Combined with Vestibular Rehabilitation Training on Patients with Vestibular Neuritis Complicated with Anxiety and Depression

作　　者：张田 喻国冻 顾平 叶惠平 何成成 金莹 ZHANG Tian;YU Guodong;GU Ping;YE Huiping;HE Chengcheng;JIN Ying(Affiliated Hospital of Guizhou Medical University,Guiyang 550002,China)

机构地区：[1]贵州医科大学附属医院,贵州贵阳550002

出　　处：《中外医学研究》2020年第7期169-172,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：贵阳市科技计划项目(项目编号:筑科合同(2012103)29号)。

摘　　要：目的:观察心理干预联合前庭康复训练对合并焦虑抑郁的前庭神经炎(vestibular neuritis,VN)患者的疗效。方法:选取2014年2月-2019年2月笔者所在医院收治的52例合并焦虑抑郁的前庭神经炎患者。将其随机分为对照组(27例)和观察组(25例)。所有患者给予甲强龙并前庭康复治疗,观察组在此基础上给予心理干预。比较两组患者治疗前后前庭功能[眩晕障碍量表(dizziness handicapinventory,DHI)]、日常活动前庭功能障碍等级量表(vestibular disorders activities of daily living scale,VADL)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,残余头晕比例及临床疗效。结果:治疗前,两组DHI、VADL、SAS、SDS评分比较差异均无统计学意义(P>0.05);治疗后,两组DHI、VADL、SAS、SDS评分均低于治疗前,且观察组均低于对照组,差异有统计学意义(P<0.05)。治疗后,对照组残余头晕率高于观察组,观察组治愈率低于对照组,差异均有统计学意义(P<0.05)。两组治疗总有效率比较,差异无统计学意义(P>0.05)。结论:运用心理干预联合前庭康复训练治疗合并焦虑抑郁的VN患者,能够有效改善患者前庭功能,缓解头晕症状,还能有效改善患者能焦虑抑郁心理,并提高治愈率。Objective:To observe the effect of psychological intervention combined with vestibular rehabilitation training on patients with vestibular neuritis(VN)complicated with anxiety and depression.Method:Fifty-two patients with VN complicated with anxiety and depression admitted in our hospital from February 2014 to February 2019 were selected.They were randomly divided into the control group(27 cases)and the observation group(25 cases).All patients were given Methylprednisolone and vestibular rehabilitation treatment.The observation group received psychological intervention on this basis.The vestibular function[dizziness handicapinventory(DHI)],daily activities,vestibular disorders activities of daily living scale(VADL),self-rating anxiety scale(SAS),self-rating depression scale(SDS)score,proportion of residual dizziness and clinical efficacy were compared between the two groups before and after treatment.Result:Before treatment,there were no significant differences in DHI,VADL,SAS and SDS scores between the two groups(P>0.05).After treatment,DHI,VADL,SAS and SDS scores of the two groups were lower than those before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the proportion of residual dizziness in the control group was higher than that in the observation group,and the cure rate in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the total effective rate between the two groups(P>0.05).Conclusion:The application of psychological intervention combined with vestibular rehabilitation training in the treatment of VN combined with anxiety and depression can effectively improve vestibular function,relieve dizziness symptoms,and effectively improve anxiety and depression psychology of patient,and also improve the cure rate.

关 键 词：心理干预 前庭康复训练 焦虑 抑郁 前庭神经炎 

分 类 号：R473.76[医药卫生—护理学]