中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
Chinese Journal of Clinicians(Electronic Edition)
2015年
18期
3332-3336
,共5页
贾庆霞%孙慧%王艳%赵仁亮
賈慶霞%孫慧%王豔%趙仁亮
가경하%손혜%왕염%조인량
抑郁%焦虑%情绪%良性阵发性位置性眩晕%眩晕障碍量表
抑鬱%焦慮%情緒%良性陣髮性位置性眩暈%眩暈障礙量錶
억욱%초필%정서%량성진발성위치성현훈%현훈장애량표
Depression%Anxiety%Emotions%Benign paroxysmal positional vertigo%Dizziness handicap inventory
目的 探讨良性阵发性位置性眩晕(BPPV)患者管石手法复位(CRP)治疗前后抑郁焦虑状态的变化.方法 选择我院2014年1~11月期间确诊并施行CRP的单侧原发性BPPV患者52例(病例组)和同期于我院查体的健康体检者58例(对照组).采用汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)和眩晕障碍量表(DHI)分别对病例组CRP治疗前、后和对照组的抑郁焦虑状态进行评估,比较各组评分结果,并探讨DHI与HAMD、HAMA之间的相关性.结果 (1)病例组中HAMD、HAMA得分异常者(HAMD≥8;HAMA≥7)分别有38.46%(20/52)和48.08%(25/52).治疗前HAMD、HAMA、DHI及其分量表得分均显著高于治疗后和对照组(P<0.05);治疗后HAMD、HAMA得分与对照组比较无显著差异(P>0.05);治疗后DHI及其分量表得分与对照组比较均有显著差异(P<0.05).(2)DHI与HAMD、HAMA得分之间呈线性相关(r=0.427, 0.556;均P<0.05).HAMD、HAMA得分越高者其DHI得分也越高,反之亦然.结论 (1)BPPV患者可合并抑郁焦虑,CRP能显著改善患者眩晕症状和情绪状态.(2)三种量表评分具有相关性,联合应用可能有助于BPPV患者的综合评估和治疗.
目的 探討良性陣髮性位置性眩暈(BPPV)患者管石手法複位(CRP)治療前後抑鬱焦慮狀態的變化.方法 選擇我院2014年1~11月期間確診併施行CRP的單側原髮性BPPV患者52例(病例組)和同期于我院查體的健康體檢者58例(對照組).採用漢密頓抑鬱量錶(HAMD)、漢密頓焦慮量錶(HAMA)和眩暈障礙量錶(DHI)分彆對病例組CRP治療前、後和對照組的抑鬱焦慮狀態進行評估,比較各組評分結果,併探討DHI與HAMD、HAMA之間的相關性.結果 (1)病例組中HAMD、HAMA得分異常者(HAMD≥8;HAMA≥7)分彆有38.46%(20/52)和48.08%(25/52).治療前HAMD、HAMA、DHI及其分量錶得分均顯著高于治療後和對照組(P<0.05);治療後HAMD、HAMA得分與對照組比較無顯著差異(P>0.05);治療後DHI及其分量錶得分與對照組比較均有顯著差異(P<0.05).(2)DHI與HAMD、HAMA得分之間呈線性相關(r=0.427, 0.556;均P<0.05).HAMD、HAMA得分越高者其DHI得分也越高,反之亦然.結論 (1)BPPV患者可閤併抑鬱焦慮,CRP能顯著改善患者眩暈癥狀和情緒狀態.(2)三種量錶評分具有相關性,聯閤應用可能有助于BPPV患者的綜閤評估和治療.
목적 탐토량성진발성위치성현훈(BPPV)환자관석수법복위(CRP)치료전후억욱초필상태적변화.방법 선택아원2014년1~11월기간학진병시행CRP적단측원발성BPPV환자52례(병례조)화동기우아원사체적건강체검자58례(대조조).채용한밀돈억욱량표(HAMD)、한밀돈초필량표(HAMA)화현훈장애량표(DHI)분별대병례조CRP치료전、후화대조조적억욱초필상태진행평고,비교각조평분결과,병탐토DHI여HAMD、HAMA지간적상관성.결과 (1)병례조중HAMD、HAMA득분이상자(HAMD≥8;HAMA≥7)분별유38.46%(20/52)화48.08%(25/52).치료전HAMD、HAMA、DHI급기분량표득분균현저고우치료후화대조조(P<0.05);치료후HAMD、HAMA득분여대조조비교무현저차이(P>0.05);치료후DHI급기분량표득분여대조조비교균유현저차이(P<0.05).(2)DHI여HAMD、HAMA득분지간정선성상관(r=0.427, 0.556;균P<0.05).HAMD、HAMA득분월고자기DHI득분야월고,반지역연.결론 (1)BPPV환자가합병억욱초필,CRP능현저개선환자현훈증상화정서상태.(2)삼충량표평분구유상관성,연합응용가능유조우BPPV환자적종합평고화치료.
Objective To explore the changes of depression and anxiety pre-and post-canalith repositioning procedure (CRP) in patients with benign paroxysmal positional vertigo (BPPV).Methods Fifty two cases with BPPV (patient group) pre-and post-CRP and fifty eight healthy people (control group) were evaluated by Hanmilton depression scale (HAMD), Hanmilton anxiety scale (HAMA) and dizziness handicap inventory (DHI). The correlations between DHI and HAMD were analyzed, as well as DHI and HAMA.Results (1)38.46% (20/52) of the cases were HAMD-abnormal (HAMD score≥8) and 48.08% (25/52) were HAMA-abnormal (HAMA score≥7). The scores of HAMD, HAMA, DHI and its subgroups in pre-CRP group were significantly higher than those in post-CRP and control group (P<0.05). There was no significant difference between post-CRP and control group on scores of HAMD and HAMA (P>0.05); while the scores of DHI and its subgroups in post-CRP group were significantly higher than control group (P<0.05). (2)Linear correlations between DHI and HAMD were revealed, as well as DHI and HAMA (r=0.427, 0.556; bothP<0.05). Patients with higher levels of DHI were more prone to be abnormal in both HAMD and HAMA, vice versa.Conclusion(1)Depression and anxiety can be diagnosed as comorbidities in BPPV patients. CRP can significantly improve the subjective symptoms and emotional states of patients. (2)There are high correlations between DHI and HAMD, and DHI and HAMD. Combined application of these scales may be helpful for whole evaluation and therapy of patients with BPPV.
