良性阵发性位置性眩晕患者焦虑状况调查及药物干预效果

摘要

Objective To investigate the anxiety condition and drug intervention effect of patients with benign paroxysmal positional vertigo (BPPV)· Methods 78 patients with BPPV were divided into the conventional therapy group and anti-anxiety drug intervention group and were evaluated and compared by Hamilton anxiety scale(HAMA)before and 1 month after the treatment· Results 78 patients with BPPV had 51 cases of anxiety ;the anxiety degree of BPPV patients with woman ,elderly people ,higher degree of education was higher than these with man ,young and middle-age ,lower degree of education;the anxi-ety degree of 51 BPPV patients was decreased after 1 month treatment ,especially in the anti-anxiety drug intervention group· Conclusion Most of patients with BPPV have anxiety ,and reasonable drug intervention can effectively improve the anxiety de-gree of BPPV patients.%目的：观察良性阵发性位置性眩晕（BPPV ）患者焦虑障碍的发生率、特点及药物干预效果。方法采用汉密尔顿焦虑量表（HAMA）对78例BPPV患者进行测评分析，并将其中51例伴有焦虑的患者分为常规治疗组（常规组）及抗焦虑药物干预组（干预组），1月后再进行HAMA评分。结果78例BPPV患者中51例（65·38％）存在不同程度的焦虑；女性、老年、文化程度较高的BPPV患者焦虑程度分别高于男性、中青年及文化程度较低的BPPV患者（ P＜0·01）；51例伴焦虑的BPPV患者接受治疗1月后其焦虑程度均有明显减轻（P＜0·01），但干预组焦虑缓解更为明显（P＜0·05）。结论多数BPPV患者存在不同程度的焦虑情绪，合理的药物干预能有效改善BPPV患者的焦虑状态。