良性阵发性眩晕与前庭性偏头痛患儿伴焦虑和抑郁情绪的特征分析  

The characteristic analysis of benign paroxysmal vertigo and vestibular migraine in children with anxiety and depression

作　　者：刘冰[1] 李蓓[1] 张莉[1] 刘薇[1] 邵剑波 陈敏[1] 张杰[1] LIU Bing;LI Bei;ZHANG Li;LIU Wei;SHAO Jianbo;CHEN Min;ZHANG Jie(National Center for Children’s Health,Department of Otorhinolaryngology Head and Neck Surgery,Beijing Children’s Hospital,Capital Medical University,Beijing.100045,China)

机构地区：[1]国家儿童医学中心、首都医科大学附属北京儿童医院耳鼻咽喉头颈外科、儿童耳鼻咽喉头颈外科疾病北京市重点实验室,北京100045

出　　处：《临床耳鼻咽喉头颈外科杂志》2021年第5期416-419,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：北京市医院管理局儿科学科协同发展中心专项经费资助(No:XTYB201828)。

摘　　要：目的:探讨良性阵发性眩晕(BPV)与前庭性偏头痛(VM)患儿伴焦虑、抑郁状态的临床特征。方法:选取以眩晕为主诉的患儿共56例(研究组),其中诊断为BPV 20例,VM 36例;选取健康儿童40例为对照组。入组患儿均进行儿童焦虑性情绪障碍筛查表、儿童抑郁障碍自评量表测评,研究组患儿完成前庭功能检查,利用SPSS 17.0软件进行统计学分析,比较两组焦虑、抑郁状态的差异性,分析研究组中BPV与VM患儿心理状态的差异性。结果:56例患儿中,学龄期39例,青春期17例;前庭功能检查异常24例;心理异常患儿共30例,焦虑状态26例、抑郁状态18例,其中14例焦虑和抑郁状态同时存在。研究组焦虑状态评分(24.75±15.71)与对照组(19.88±6.72)比较差异有统计学意义(P<0.05),抑郁状态无明显差异;研究组BPV与VM患儿的焦虑、抑郁状态测试得分比较,差异均无统计学意义。两种疾病可能的风险因素中,VM患儿青春期与学龄期的焦虑状态得分比较,差异有统计学意义(P<0.05);儿童BPV中女性与男性的焦虑状态比较,差异有统计学意义(P<0.05)。结论:反复眩晕发作的患儿容易出现焦虑和抑郁负性情绪,儿童BPV、VM发生心理异常的概率无差异性,但青春期女性患儿更容易出现焦虑状态,因此,反复眩晕发作的患儿还应关注其精神心理状态。Objective:Benign paroxysmal vertigo(BPV)and vestibular migraine(VM)are the most common causes of recurrent vertigo in children.The objective of this article is Tto investigate the clinical characteristic of anxiety and depression in children with BPV and VM.Methods:Fifty-six patients diagnosed as BPV and VM with vertigo were collected.and diagnosed as BPV and VM.Twenty cases were BPV and 36 cases were VM.The 40 controls were selected from healthy children.The screen of Child Anxiety Related Emotional Disorders and Depression Self-rating Scale for Children were done for total of children.The patients were received vestibular function test.Using SPSS17.0 software for statistical analysis,compared the difference of state with anxiety and depression in patients and controls.To analyze the psychological differences between BPV and VM.Results:All patients were among 8-17(mean 10)years old,including 24 boys and 32 girls.Thirty-nine cases were school age and 17 cases were puberty.Vestibular function test was abnormal in 24 cases.Psychological abnormalities There were 30 cases suffered from psychological abnormalities.There were 26 cases with anxiety and 18 cases with depression,which 14 cases with comorbidity of anxiety and depression.Compared with the control group(19.88±6.72),the patients(24.75±15.71)showed statistically significant difference in anxiety(P<0.05),but no significant difference in depression.There was no statistical difference between BPV and VM in anxiety and depression.The possible risk factors of the two diseases were detected.There was statistically significant difference with the anxiety in adolescent and school age patients of VM(P<0.05).There was statistically significant difference with the anxiety in patients of BPV in gender(P<0.05).Conclusion:Children with vertigo are associated with negative emotions of anxiety and depression.There is no difference in psychological state between the children of BPV and VM.But adolescent and female children are more likely to have anxiety.Therefore,children w

关 键 词：眩晕 焦虑 抑郁 儿童 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]