Xing Y Z, Pei J J, Sun Y T, Li S J, Zhao S, Liu Y J, Li L Q, Hou Q J, Wang D H
Department of Otolaryngology Head and Neck Surgery, Tangshan Xiehe Hospital, Tangshan, 063000, China.
Department of Vascular Surgery, North China University of Science and Technology Affiliated Hospital.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Dec 20;31(24):1919-1922. doi: 10.13201/j.issn.1001-1781.2017.24.012.
To offer the objective evidences for the diagnosis by analyzing anxiety and depression among patients with sudden deafness and vertigo and their possible causes. Eighty patients with sudden deafness and vertigo of single ear as the observation group; 80 patients with sudden deafness without vertigo and 60 healthy people as control group.Hamilton anxiety scale (HAMA), Hamilton depression scale (HAMD) are used for quantitative analysis and compare the results of each group score. ①The HAMA score of the deafness group with vertigo was significantly higher than that of the group without vertigo and the healthy group (<0.01). The HAMD score of the deafness group with vertigo was significantly higher than that of the group without vertigo and the healthy group (<0.01). ②There was correlation between HAMA and sex, age, duration of dizziness, tinnitus, DHI and efficacy grading (<0.05). There was no correlation between HAMA and the mean hearing threshold, urban and rural distribution, ear fullness (> 0.05). There was a correlation between HAMD and sex, age, tinnitus, DHI and efficacy grading (<0.05). There was no correlation between HAMD and the mean hearing threshold, duration of dizziness, urban and rural distribution, ear fullness (>0.05). There are anxiety and depression in patients with deafness and vertigo. It is mainly related to sex, age, dizziness duration, tinnitus, DHI and grade of efficacy. It is necessary to pay attention to the mental state of patients in clinical treatment. Psychological counseling or treatment can be used to improve clinical efficacy.
通过分析突发性聋伴眩晕患者的焦虑、抑郁状况及其可能原因，为诊断提供客观依据。选取80例单耳突发性聋伴眩晕患者作为观察组；80例突发性聋不伴眩晕患者及60例健康人作为对照组。采用汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）进行量化分析并比较各组评分结果。①伴眩晕的耳聋组HAMA评分显著高于不伴眩晕组及健康组（<0.01）。伴眩晕的耳聋组HAMD评分显著高于不伴眩晕组及健康组（<0.01）。②HAMA与性别、年龄、头晕持续时间、耳鸣、DHI及疗效分级存在相关性（<0.05）。HAMA与平均听阈、城乡分布、耳闷胀感无相关性（>0.05）。HAMD与性别、年龄、耳鸣、DHI及疗效分级存在相关性（<0.05）。HAMD与平均听阈、头晕持续时间、城乡分布、耳闷胀感无相关性（>0.05）。突发性聋伴眩晕患者存在焦虑和抑郁情绪。主要与性别、年龄、头晕持续时间、耳鸣、DHI及疗效分级有关。临床治疗中需关注患者心理状态。可采用心理咨询或治疗以提高临床疗效。
