情绪认知对良性阵发性位置性眩晕患者影响的临床研究  

Clinical study on the effect of cognition and emotion changes on patients with benign paroxysmal positional vertigo

作　　者：贾若 李凤 李云[2] 李海洋 吴玉彬 刘博[3] JIA Ruo;LI Feng;LI Yun;LI Haiyang;WU Yubin;LIU Bo(Department of Otolaryngology,Beijing Daxing Hospital,Capital MedicalUniversity,Beijing,102600,China;Department of Otolaryngology,Shijiazhuang Third Hospital,Shijiazhuang,Hebei,050011,China;Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,BeijingInstitute of Otolaryngology,Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University),Ministry ofEducation,Beijing,100730,China)

机构地区：[1]首都医科大学大兴教学医院耳鼻咽喉科,北京102600 [2]石家庄市第三医院耳鼻咽喉科,河北石家庄050011 [3]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京市耳鼻咽喉科研究所,耳鼻咽喉头颈科学教育部重点实验室(首都医科大学),北京100730

出　　处：《中国耳鼻咽喉头颈外科》2023年第6期369-372,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的了解良性阵发性位置性眩晕(BPPV)患者的情绪状态并分析影响因素。方法纳入186例原发性BPPV患者作为病例组和180名体检者作为对照组。收集患者相关临床资料并完成眩晕主观感觉症状、焦虑抑郁情绪和睡眠质量等评价。结果(1)病例组伴发情绪异常的比例为男性48.1%、女性46.2%,伴发焦虑的比例为男性35.2%、女性31.1%,伴发抑郁的比例为女性33.3%;对照组伴发情绪异常的比例为男性27.1%、女性23.8%,伴发焦虑的比例为男性14.6%、女性8.3%,伴发抑郁的比例为女性16.7%,患病率均为病例组高于对照组(P<0.05)。(2)情绪异常和焦虑与眩晕程度呈低度正相关性(P<0.05)。(3)睡眠和病程是BPPV患者情绪异常和焦虑的影响因素,性别是抑郁的影响因素。结论BPPV患者容易出现情绪异常,睡眠、病程和性别是影响情绪状态的重要因素。OBJECTIVE To investigate the emotional state of patients with benign paroxysmal positional vertigo(BPPV)and analyze the influencing factors.METHODS 186 patients with primary BPPV were included as the case group and 180 examiners the control group.Clinical data of patients was collected and evaluation of vertigo subjective symptoms,anxiety,depression and sleep quality was completed.RESULTS 1.The proportion of patients with emotional abnormality in the case group was 48.1%for male and 46.2%for female,and with anxiety was 35.2%for male and 31.1%for female,and with depression was 33.3%for female.The proportion of patients with emotional abnormality in the control group was 27.1%for male and 23.8%for female,and with anxiety was 14.6%for male and 8.3%for female,and with depression was 16.7%for female.The prevalence rates in case group were higher than that of control group(P<0.05).2.There was a low positive correlation between emotional abnormality,anxiety and the degree of vertigo(P<0.05).3.Sleep and course of disease were the influencing factors of emotional abnormality and anxiety in BPPV patients,and gender was the influencing factor of depression.CONCLUSION Patients with BPPV are prone to emotional abnormality.Sleep,course of disease and gender were important factors affecting emotional state.

关 键 词：情绪 焦虑 抑郁 良性发作性位置性眩晕 

分 类 号：R764[医药卫生—耳鼻咽喉科]