[Anxiety and depression state among patients with different type of vertigo and dizziness].
[Anxiety and depression state among patients with different type of vertigo and dizziness].
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DOI：
10.13201/j.issn.2096-7993.2021.05.013
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发表时间：
2021-05-01
影响因子：
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通讯作者：
Wu, Mei
中科院分区：
文献类型：
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作者：
Yang, Li;Ding, Wei;Wu, Mei
目的：了解不同类型眩晕患者的焦虑、抑郁状况，并探讨其可能的原因。方法：回顾性分析2017年11月至2020年6月收治的眩晕患者的临床资料，采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评定患者的焦虑、抑郁状况。结果：共纳入眩晕患者559例，其中前庭性偏头痛（VM）94例，梅尼埃病（MD）86例，良性阵发性位置性眩晕78例突发性耳聋77例74例未明确诊断，58例前庭神经炎，良性复发性眩晕57例35例为持续性体位-知觉性头晕焦虑发生率为43.11%（未确诊64.86%，VM 63.83%，MD 55.81%，PPPD 48.57%，BRV 47.37%），抑郁发生率为11.27%（未确诊25.68%，PPPD 17.14%，VM 14.89%，BRV 14.04%，MD 12.79%）。采用Kruskal-Wallis检验分析眩晕患者的SAS、SDS评分。结果表明，各组间差异有显著性。根据眩晕持续时间分为3组。>2年组焦虑发生率最高（58.56%），其次为2个月~ 2年组（54.75%）。经卡方检验，两组间差异无统计学意义（P>0.05）。但均显著高于2年组（32.43%）、2个月~ 2年组（10.27%）、
Objective:To assess the status of anxiety and depression among patients with different type of vertigo and dizziness, and to figure out the possible reason. Methods:The data of the patients with vertigo from November 2017 to June 2020 were reviewed, and their status of anxiety and depression were assessed using self-rating anxiety scale（SAS） and self-rating depression scale（SDS）. Results:A total of 559 patients with vertigo were enrolled, including 94 cases for vestibular migraine （VM）, 86 cases for Meniere disease （MD）, 78 cases for benign paroxysmal positional vertigo （BPPV）, 77 cases for sudden hearing loss（SHL） with vertigo, 74 cases for no definite diagnosis, 58 cases for vestibular neuritis （VN）, 57 cases for benign recurrent vertigo （BRV） and 35 cases for persistent postural-perceptual dizziness （PPPD）.The incidence of anxiety is 43.11%（no definite diagnosis=64.86%, VM=63.83%, MD=55.81%, PPPD=48.57%, BRV=47.37%）, and the incidence of depression is 11.27% （no definite diagnosis=25.68%, PPPD=17.14%, VM=14.89%, BRV=14.04%, MD=12.79%）. Kruskal-Wallis test was used to analyze SAS and SDS scores of patients with vertigo. The results showed that there were significant differences in each group. All patients were divided into 3 groups according to the duration of vertigo. The anxiety incidence of >2 years group was highest（58.56%）, and the second one was 2 months to 2 years group（54.75%）. There was no statistically significant difference between 2 groups by chitest（P>0.05）. But both of them were significantly higher than the 2 years group was highest（32.43%）, the second one was 2 months to 2 years group（10.27%）, and the lowest one was