中国听力语言康复科学杂志Issue(3)：185-188,4.DOI:10.3969/j.issn.1672-4933.2014.03.008
精神性眩晕临床诊疗初探
Diagnosis and Treatment of Patients with Psychogenic Vertigo:A Preliminary Study
摘要
Abstract
Objective To study the clinical diagnosis and intervention strategies for mild and moderate psychogenic vertigo. Methods Thirty-seven patients with psychogenic vertigo aged between 20 and 68(mean age, 46.1 years) were included in the study. They received the Self-reporting Inventory(SCL-90),Self-rating Depression Scale(SDS) and Self-rating Anxiety Scale (SAS) tests. All the patients were diagnosed with mild to moderate psychogenic vertigo. They were given Wuling powder and psychological intervention for 4 weeks and assessed at the baseline and 28 days after intervention to evaluate the symptoms of vertigo (including severity, duration, frequency, accompanying symptoms) and psychological status. The results were analyzed with SPSS software. Results (1)There were 17 cases of primary psychogenic vertigo and 20 cases of secondary psychogenic vertigo in this study. The primary psychogenic vertigo was mainly manifested by unsteadiness and floating, while the secondary psychogenic vertigo was characterized by rotational vertigo, falling sensation and difficulty standing. (2)28 days after the administration of Wuling powder, the sensation of unsteadiness and floating in patients was significantly improved as compared with that before the treatment. (3)At the baseline,91.9%(34/37)of the patients had somatoform disorders according to SCL-90,91.9%(34/37)had anxiety and 56.8%(21/37)had depression. As for the severity, 86.5%(32/37)were mildly abnormal and 13.5%(5/37)were moderately abnormal. After intervention, the percentages of somatoform disorders, anxiety and depression were all decreased and a statistically significant difference (P<0.05) was found between the percentages at the baseline and those after intervention. Conclusion Wuling powder, a kind of traditional Chinese medicine, is found effective in treating patients with mild to moderate psychogenic vertigo. Appropriate psychological intervention can help establish the doctor-patient trust and improve patient compliance.关键词
精神性眩晕/乌灵菌粉/干预/评价Key words
Psychogenic vertigo/Wuling powder/Intervention/Evaluation引用本文复制引用
吴子明,古扎力努尔·尼扎木丁,张素珍,刘兴健,陈贤兵..精神性眩晕临床诊疗初探[J].中国听力语言康复科学杂志,2014,(3):185-188,4.基金项目
国家“十二五”科技支撑计划耳源性眩晕机制及诊治方法方案研制(2012BAI12B02) （2012BAI12B02）
