CAJ | 학술논문

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，P>0.05，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=0.00<0.05，差异有统计学意义，和中耳炎组评分（40.70±9.18）比较，P=0.00<0.05，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=0.00<0.05差异有统计学意义，和中耳炎组评分（42.14±8.02）比较，P=0.00<0.05，差异有统计学意义。耳鸣和焦虑抑郁之间存在相关性，P=0.00<0.05差异有统计学意义。3.焦虑抑郁和眩晕、耳闷无关，P>0.05，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P<0.05，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%，P>0.05，无统计学差异；总有效率有抑郁组为15.0%，无抑郁组为32.3%，P<0.05，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。
목적：대돌발성롱환자초필억욱상황급영향인소진행분석。방법수집돌롱환자93례，채용초필（SAS）화억욱（SDS）자평량표대돌롱환자진행평개，병응용THI이명잔질평고량표화이명평고량표진행이명평고，분석돌롱환자환병후초필억욱상태화조성저충심리상태적원인급대료효적영향。결과1.초필억욱화성별、년령、성향차이、발병천수、은력손실정도무관，P>0.05，무통계학의의。2.돌롱조SAS평분（47.07±9.64），정상조평분（37.70±9.21）상비교，P=0.00<0.05，차이유통계학의의，화중이염조평분（40.70±9.18）비교，P=0.00<0.05，차이유통계학의의；돌롱조SDS평분（51.92±11.22），정상조평분（41.82±8.26）상비교，P=0.00<0.05차이유통계학의의，화중이염조평분（42.14±8.02）비교，P=0.00<0.05，차이유통계학의의。이명화초필억욱지간존재상관성，P=0.00<0.05차이유통계학의의。3.초필억욱화현훈、이민무관，P>0.05，무통계학의의。4.돌롱환자중유초필억욱조이명량표화THI각유도평분균고우무초필억욱조P<0.05，차이유통계학의의。5.치료후적총유효솔유초필조위16.1%，무초필조위31.2%，P>0.05，무통계학차이；총유효솔유억욱조위15.0%，무억욱조위32.3%，P<0.05，유통계학차이。결론돌롱환자심리건강상황교차，주요원인시이명，병차억욱적심리상태회영향료효，수요대환자진행급시심리소도。
[Obstract]Objective To report psychological disorders among patients with sudden hearing loss and their possible causes. Methods Data from 93 patients with sudden hearing loss were collected. Psychological status was evaluated with SAS and SDS. The THI was used for tinnitus evaluation. Correlations between tinni-tus and psychological status and influencing factors on treatment outcomes were analyzed. Results 1) There were no relations between anxiety/depression and the general condition of the patient. 2) SAS and SDS scores were different among normal controls, patients with otitis media and those with sudden deafness. 3) There were no relations between psychological disorders and vertigo or ear fullness. 4) Tinnitus evaluation results were dif-ferent between patients with anxiety/depression and those without. 5) Treatment outcomes were different when compared between patients with depression and those without depression. Conclusions Compared with normal people, psychological disorders are more common among patients with sudden deafness and the main cause ap-pears to be tinnitus. Depression can affect treatment outcomes in these patients, and psychological intervention is important.