职业性噪声聋患者焦虑、抑郁与耳鸣、睡眠质量相关性分析  

The association of anxiety, depression, tinnitus and sleep quality in patients with occupational noise-induced deafness

作　　者：虢远宁 邓小峰[1] 汤春宜[1] 蔡品[1] 邱新香 GUO Yuan-ning;DENG Xiao-feng;TANG Chun-yi;CAI Pin(Guangdong Province Hospital for Occupational Disease Prevention and Treatment,Guangdong Provincial Key Laboratory of Occupational Disease Prevention and Treatment,Guangzhou,Guangdong 510300,China)

机构地区：[1]广东省职业病防治院广东省职业病防治重点实验室,广东广州510300 [2]不详

出　　处：《中国职业医学》2021年第4期407-411,共5页China Occupational Medicine

基　　金：国家临床重点专科建设项目(2011-09);广东省职业病防治重点实验室(2017B030314152);广东省医学科学技术研究基金(B2018211)。

摘　　要：目的探讨职业性噪声聋(ONID)患者焦虑、抑郁、耳鸣及睡眠质量现状及其相关性。方法采用判断抽样法,选择302例ONID患者为研究对象,采用《焦虑自评量表》《抑郁自评量表》《耳鸣致残量表》《匹兹堡睡眠质量指数量表》调查其焦虑、抑郁、耳鸣和睡眠质量情况。结果研究对象中,无焦虑抑郁者123例,单纯焦虑或抑郁者46例,同时合并焦虑与抑郁者133例,分别占40.7%、15.3%和44.0%。研究对象耳鸣、睡眠障碍检出率分别为77.8%(235/302)和48.0%(145/302)。单纯焦虑或抑郁组患者耳鸣和睡眠质量总分均高于无焦虑抑郁组(P值均<0.01);焦虑抑郁组患者耳鸣和睡眠质量总分均高于无焦虑抑郁组和单纯焦虑或抑郁组(P值均<0.01)。研究对象中,耳鸣和睡眠障碍的检出率由高到低均依次为焦虑抑郁组、单纯焦虑或抑郁组、无焦虑抑郁组(耳鸣:85.7%vs 76.1%vs 69.9%,睡眠障碍:82.0%vs 37.0%vs 15.5%,P值均<0.01)。ONID患者焦虑、抑郁的标准分分别与耳鸣及睡眠质量的总分呈正相关(相关系数分别为0.63、0.72、0.63、0.69,P值均<0.01)。结论ONID患者可伴有不同程度的焦虑、抑郁情绪;这种负性情绪的存在可能导致ONID患者耳鸣程度加重,睡眠质量降低。Objective To investigate the status and association of anxiety, depression, tinnitus and sleep quality in patients with occupational noise-induced deafness(ONID). Methods A total of 302 ONID patients were selected as research subjects using judgment sampling method. Their status of anxiety, depression, tinnitus and sleep quality were investigated using questionnaires of Self-Rating Anxiety Scale, Self-Rating Depression Scale, Tinnitus Handicap Inventory and Pittsburgh Sleep Quality Index. Results Among the study subjects, there were 123 cases with no anxiety or depression, 46 cases with simple anxiety or depression, and 133 cases with combined anxiety and depression, accounting for 40.7%, 15.3% and 44.0%, respectively. The incidence of tinnitus and sleep disorder were 77.8%(235/302) and 48.0%(145/302), respectively. The total scores of tinnitus and sleep quality in simple anxiety or depression group were higher than those with no anxiety or depression(all P<0.01). The total scores of tinnitus and sleep quality in combined anxiety and depression group were higher than that with no anxiety and depression, and simple anxiety or depression group(all P<0.01). Among the research subjects, the incidence of tinnitus and sleep disorder from high to low were combined anxiety and depression group, simple anxiety or depression group, and no anxiety and depression group(tinnitus: 85.7% vs 76.1% vs 69.9%, sleep disturbance: 82.0% vs 37.0% vs 15.5%, all P<0.01). The standard scores of anxiety and depression in ONID patients were positively correlated with the total scores of tinnitus and sleep quality(correlation coefficients were 0.63, 0.72, 0.63, 0.69, all P<0.01). Conclusion ONID patients can be accompanied by varying degrees of anxiety and depression. The existence of anxiety and depression may lead to increased tinnitus and decreased sleep quality in ONID patients.

关 键 词：职业性噪声聋 耳聋 睡眠质量 焦虑 抑郁 相关性 

分 类 号：R135.8[医药卫生—劳动卫生]