突发性聋住院患者焦虑抑郁状况分析

发布时间：2018-01-21 05:58

本文关键词： 突发性聋心理健康疗效　出处：《中华耳科学杂志》2015年03期 　论文类型：期刊论文

【摘要】：目的对突发性聋患者焦虑抑郁状况及影响因素进行分析。方法收集突聋患者93例,采用焦虑(SAS)和抑郁(SDS)自评量表对突聋患者进行评价,并应用THI耳鸣残疾评估量表和耳鸣评估量表进行耳鸣评估,分析突聋患者患病后焦虑抑郁状态和造成这种心理状态的原因及对疗效的影响。结果 1.焦虑抑郁和性别、年龄、城乡差异、发病天数、听力损失程度无关,P0.05,无统计学意义。2.突聋组SAS评分(47.07±9.64),正常组评分(37.70±9.21)相比较,P=0.000.05,差异有统计学意义,和中耳炎组评分(40.70±9.18)比较,P=0.000.05,差异有统计学意义;突聋组SDS评分(51.92±11.22),正常组评分(41.82±8.26)相比较,P=0.000.05差异有统计学意义,和中耳炎组评分(42.14±8.02)比较,P=0.000.05,差异有统计学意义。耳鸣和焦虑抑郁之间存在相关性,P=0.000.05差异有统计学意义。3.焦虑抑郁和眩晕、耳闷无关,P0.05,无统计学意义。4.突聋患者中有焦虑抑郁组耳鸣量表和THI各维度评分均高于无焦虑抑郁组P0.05,差异有统计学意义。5.治疗后的总有效率有焦虑组为16.1%,无焦虑组为31.2%,P0.05,无统计学差异;总有效率有抑郁组为15.0%,无抑郁组为32.3%,P0.05,有统计学差异。结论突聋患者心理健康状况较差,主要原因是耳鸣,并且抑郁的心理状态会影响疗效,需要对患者进行及时心理疏导。
[Abstract]:Objective to analyze the status of anxiety and depression in patients with sudden deafness and its influencing factors. Methods 93 patients with sudden deafness were assessed with SAS and SDS-). THI tinnitus disability assessment scale and tinnitus assessment scale were used to evaluate tinnitus. Analysis of anxiety and depression after sudden deafness and the causes of this psychological state and its effect on the efficacy. 1. Anxiety and depression and gender, age, urban and rural differences, onset days, hearing loss is not significant. 2. The SAS score of sudden deafness group was 47.07 卤9.64 and that of normal group was 37.70 卤9.21). The difference was statistically significant, compared with the score of 40. 70 卤9. 18 in otitis media group (P < 0. 000. 05). The SDS score of sudden deafness group (51.92 卤11.22) was significantly higher than that of normal group (41.82 卤8.26). Compared with the score of 42.14 卤8.02 in otitis media group, the difference was statistically significant. There was a correlation between tinnitus and anxiety and depression. P0. 000.05 difference was statistically significant. 3. Anxiety, depression and vertigo, ear tightness had nothing to do with P05. In patients with sudden deafness, the tinnitus scale and THI scores of anxiety depression group were higher than those of non-anxiety depression group (P0.05). The total effective rate after treatment was 16.1in anxiety group and 31.2g / kg in non-anxiety group (P 0.05). The total effective rate was 15.0 in depression group and 32.3p 0.05 in non-depression group. Conclusion the mental health status of sudden deafness patients is poor, the main reason is tinnitus. And the psychological state of depression will affect the efficacy of patients need timely psychological counseling.
【作者单位】：沧州市中心医院耳鼻喉科;沧州市人民医院耳鼻喉科;
【分类号】：R764.437
【正文快照】： 【Obstract】Objective To report psychological disorders among patients with sudden hearing loss andtheir possible causes.Methods Data from 93 patients with sudden hearing loss were collected.Psychologicalstatus was evaluated with SAS and SDS.The THI was

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