CAJ | 학술논문

目的：探讨小脑性眩晕伴焦虑的原因及其抗焦虑治疗的疗效。方法自2009年1月开始，对三家医院收治的小脑性眩晕伴焦虑患者82例随机分为治疗组和对照组，治疗组进行常规治疗＋氟哌塞顿美利曲辛联合度洛西汀抗焦虑治疗，对照组进行常规治疗。在入院时及治疗2、4、8周末给予眩晕量表和哈密尔顿焦虑量表（ HAMA）评分。结果治疗组与对照组在入院时眩晕量表及HAMA量表评分两者无显著性差异（均P＞0．05）。治疗后，治疗组在2周末、4周末和8周末眩晕量表及HAMA量表评分较对照组明显偏低（均P＜0．05）。对照组8周末时眩晕量表评分较4周末时反而上升，差异有极显著性意义（P＜0．01）。结论小脑性眩晕伴焦虑患者，积极进行抗焦虑治疗有益于改善患者焦虑及眩晕症状。
목적：탐토소뇌성현훈반초필적원인급기항초필치료적료효。방법자2009년1월개시，대삼가의원수치적소뇌성현훈반초필환자82례수궤분위치료조화대조조，치료조진행상규치료＋불고새돈미리곡신연합도락서정항초필치료，대조조진행상규치료。재입원시급치료2、4、8주말급여현훈량표화합밀이돈초필량표（ HAMA）평분。결과치료조여대조조재입원시현훈량표급HAMA량표평분량자무현저성차이（균P＞0．05）。치료후，치료조재2주말、4주말화8주말현훈량표급HAMA량표평분교대조조명현편저（균P＜0．05）。대조조8주말시현훈량표평분교4주말시반이상승，차이유겁현저성의의（P＜0．01）。결론소뇌성현훈반초필환자，적겁진행항초필치료유익우개선환자초필급현훈증상。
Objective To explore the causes of anxiety in cerebellum vertigo and evaluate the efficacy of anxiolytic therapy.Method Since January, 2008, patients of cerebellar vertigo with anxiety were randomly divided into an experimental group and a control group in three hospitals .The experimental group were treated with routine therapy plus anxiolytic therapy with droperidol seton melitracen and duloxetine , while the control group were administered with conventional treatment .The patients received evaluation with Dizziness Scale and Hamilton Anxiety Scale ( HAMA) on admission and 2,4,8 weeks after treatment.Findings At the time of admission, no significant differences were found in the vertigo and HAMA scale scores between the two groups ( P>0.05).After treatment, the experimental group scored significantly lower than the control group in the vertigo and HAMA scale at the end of 2,4,8 weeks(P<0.05).The control group for 8 weeks at the vertigo score over 4 weeks at the rise.The difference was very significant (P<0.01).Conclusion Anxiolytic therapy was effective for the treatment of cerebellar vertigo with anxiety .