不同类型良性阵发性位置性眩晕患者焦虑(抑郁)状态的比较

王丽; 周慧芳; 王铭歆; 张静; 苏娟; 郭英

doi:10.13201/j.issn.1001-1781.2016.21.011

不同类型良性阵发性位置性眩晕患者焦虑(抑郁)状态的比较

- 天津医科大学总医院耳鼻咽喉科(天津, 300052)

详细信息

通讯作者: 周慧芳,E-mail:zyyzhf@163.com

中图分类号: R255.3

收稿日期: 2016-08-21

Comparison of anxiety and depression state among patients with different type of benign paroxysmal positional vertigo

- Department of Otorhinolaryngology, General Hospital of Tianjin Medical University, Tianjin, 300052, China

More Information

Corresponding author: ZHOU Huifang, E-mail: zyyzhf@163.com

Received Date: 21 August 2016

摘要

摘要: 目的:评估临床上不同类型良性阵发性位置性眩晕(BPPV)患者的焦虑(抑郁)心理状态,并进行分析。方法:收集后半规管BPPV(PC-BPPV)、前半规管BPPV(AC-BPPV)、外半规管BPPV(HC-BPPV)、混合型BPPV(MC-BPPV)患者的资料,完善耳科、神经耳科学检查及医院焦虑(抑郁)量表(HADS)测试。结果:不同类型BPPV患者焦虑(抑郁)状态发生率分别为PC-BPPV(36.45%)、AC-BPPV(22.78%)、HC-BPPV(28.57%)、MC-BPPV(63.16%),经检验4组的焦虑(抑郁)发生率差异有统计学意义(P<0.05);其中PC-BPPV组和MC-BPPV组患者焦虑(抑郁)的发生率较其他2组高。复位治疗前4组患者HADS总得分差异有统计学意义(P<0.05),PC-BPPV组和MC-BPPV组患者得分较高;治疗后1周,4个组间HADS总得分差异有统计学意义(P<0.05),PC-BPPV组和MC-BPPV组患者得分较高;4个组内,治疗后1周与治疗前HADS总得分比较,差异有统计学意义(P<0.05)。结论:4种不同类型的BPPV患者中,PC-BPPV、MC-BPPV患者易伴发焦虑(抑郁)心理情绪,情绪障碍会影响复位治疗后的效果。在临床诊疗过程中应增加对患者心理状态的关注,及早给予心理疏导或干预,以提高疗效。
- 良性阵发性位置性眩晕 /
- 后半规管 /
- 前半规管 /
- 外半规管 /
- 焦虑 /
- 抑郁
Abstract: Objective: To investigate and analyze the state of anxiety and depression among patients with different type of benign paroxysmal positional vertigo(BPPV). Method: Patients with four types of BPPV were enrolled in our study,which named as posterior semicircular canals BPPV(PC-BPPV),anterior semicircular canals BPPV(AC-BPPV),horizontal semicircular canals BPPV(HC-BPPV),multiple canals BPPV(MC-BPPV).Thorough otological and neuro-otological examinations were performed on all cases,and their states of anxiety and depression were assessed by hospital anxiety and depression scale(HADS). Result: The incidence of anxiety and depression of all cases divided into four types BPPV (PC-BPP,AC-BPPV,HC-BPPV,MC-BPPV)were 36.45%,22.78%,28.57%,63.16% respectively in our study.The differences among the four groups were statistically significant(P<0.05).That were higher in these cases with PC-BPPV or MC-BPPV than those with AC-BPPV or HC-BPPV.The HADS aggregate scores of the pre-repositioning were statistically significant(P<0.05).And the patients with PC-BPPV or MC-BPPV were higher than the other two groups.The HADS aggregate scores of the post-repositioning were statistically significant(P<0.05).And the cases with PC-BPPV or MC-BPPV were higher than the other two groups.The post-repositioning scores were compared with the pre-repositioning scores,and the difference was significant(P<0.05).Conclusion: Among all cases with the four different types of BPPV,anxiety and depression psychological mood is more common in patients with PC-BPPV or MC-BPPV.Mood disorders affect the reset recovery after treatment,and reduce the therapeutic effect.We should pay more attention to psychological state of the patients with BPPV during treatment.And early psychological intervention can improve treatment effect.
- benign paroxysmal positional vertigo /
- posterior semicircular canals /
- anterior semicircular canals /
- horizontal semicircular canals /
- anxiety /
- depression

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