前庭神经炎住院患者抑郁症状的影响因素  

Influencing factors of depressive symptoms in patients with vestibular neuritis

作　　者：王双志 曹飞虎 王柳 何佳蔚 邹欣[1] 张弟文[1] Wang Shuangzhi;Cao Feihu;Wang Liu;He Jiawei;Zou Xin;Zhang Diwen(Sichuan Mental Health Center·The Third Hospital of Mianyang,Mianyang 621000,China;School of Mental Health,North Sichuan Medical College,Nanchong 637000,China)

机构地区：[1]四川省精神卫生中心·绵阳市第三人民医院,四川绵阳621000 [2]川北医学院精神卫生学院,四川南充637000

出　　处：《四川精神卫生》2024年第6期557-561,566,共6页Sichuan Mental Health

摘　　要：背景 前庭神经炎是临床常见的急性外周性眩晕疾病,部分患者可能存在不同程度的负性情绪,并可能导致前庭神经炎慢性化加剧,影响预后。前庭神经炎患者的心理健康状况及其影响因素有待进一步研究。目的 探讨前庭神经炎患者抑郁症状与前庭症状的关系及其影响因素,为患者的临床干预提供参考。方法 纳入2021年6月—2023年6月在绵阳市第三人民医院神经内科住院治疗的前庭神经炎患者86例。采用汉密尔顿抑郁量表17项版(HAMD-17)、眩晕评定量表(DARS)以及眩晕残障量表(DHI)进行评定。根据HAMD-17评分,将患者分为抑郁症状组(n=46)和无抑郁症状组(n=40)。采用Pearson相关分析考查抑郁症状组各量表评分之间的相关性,采用二元Logistic回归分析探讨患者抑郁症状的影响因素。结果 检出46例(53.49%)前庭神经炎患者存在抑郁症状。抑郁症状组和无抑郁症状组的年龄、病程、受教育年限、DARS评分和DHI评分比较,差异均有统计学意义(t=4.512、4.921、2.712、3.529、5.471,P均<0.01)。抑郁症状组HAMD-17评分与DARS评分、DHI评分均呈正相关(r=0.345、0.335,P均<0.01)。二元Logistic回归分析结果显示,年龄(OR=4.352,95%CI:1.520~12.462)、病程(OR=3.772,95%CI:1.339~10.630)、受教育年限(OR=0.074,95%CI:0.235~0.923)、DARS评分(OR=1.213,95%CI:0.405~3.628)和DHI评分(OR=3.619,95%CI:1.246~10.514)是患者抑郁症状的影响因素。结论前庭神经炎患者的抑郁症状与前庭症状呈正相关。患者年龄、病程以及前庭症状严重程度是前庭神经炎患者抑郁症状的危险因素,受教育年限是前庭神经炎患者抑郁症状的保护因素。Background Vestibular neuritis is a common clinical acute peripheral vertigo disorder.Some patients may experience negative emotions states,leading to chronic exacerbation of vestibular neuritis and a poorer prognosis.Further research is needed to understand the psychological state of patients with vestibular neuritis and its influencing factors.Objective To explore the relationship between depressive symptoms and vestibular symptoms in patients with vestibular neuritis and its influencing factors,so as to provide references for clinical intervention.Methods A total of 86 patients with vestibular neuritis,hospitalized in the Department of Neurology of the Third Hospital of Mianyang from June 2021 to June 2023,were included in the study.Assessments were conducted using the Hamilton Depression Scale-17 item(HAMD-17),Dizziness Assessment Rating Scale(DARS) and Dizziness Handicap Inventory(DHI).Patients were divided into depression group(n=46) and non-depression group(n=40) based on HAMD-17 score.Pearson correlation analysis was used to examine the correlation among each scale score.Binary Logistic regression was used to identify influencing factors for depressive symptoms.Results Among the 86 patients,46(53.49%) exhibited depressive symptoms.Statistically significant differences were observed between depression group and non-depression group in terms of age,disease duration,years of education,DARS score and DHI score(t=4.512,4.921,2.712,3.529,5.471,P<0.01).In depression group,HAMD-17 score was positively correlated with DARS score and DHI score(r=0.345,0.335,P<0.01).Binary Logistic regression analysis showed that age(OR=4.352,95% CI:1.520~12.462),disease duration(OR=3.772,95% CI:1.339~10.630),years of education(OR=0.074,95% CI:0.235~0.923),DARS score(OR=1.213,95% CI:0.405~3.628) and DHI score(OR=3.619,95% CI:1.246~10.514) were the influencing factors of depressive symptoms among patients with vestibular neuritis.Conclusion Depressive symptoms in patients with vestibular neuritis are positively correlated with vestib

关 键 词：前庭神经炎 抑郁症状 前庭症状 

分 类 号：R749.4[医药卫生—神经病学与精神病学]