中国卒中杂志2019，Vol.14Issue(8)：756-759,4.DOI:10.3969/j.issn.1673-5765.2019.08.004
良性阵发性位置性眩晕与前庭性偏头痛患者焦虑抑郁状态比较研究
Comparison of Anxiety and Depression between Patients with Benign Paroxysmal Positional Vertigo and Vestibular Migraine
摘要
Abstract
Objective To compare the incidence and charateristics of anxiety and depression between the patients with benign paroxysmal positional vertigo (BPPV) and vestibular migraine (VM). Methods 100 outpatients diagnosed with BPPV (n=50) and VM (n=50) at Beijing Tian Tan Hospital from September 2016 to December 2017 were included in the analysis. Dizziness handicap inventory (DHI) and hospital anxiety and depression scale (HADS) were used to evaluate the emotional state of the two groups. Results In BPPV group: the incidence of significant dizziness handicap, depression and anxiety were 64% (32/50) and 30% (15/50) before treatment respectively, and reduced to 6% (3/50) and 4% (2/50) after treatment respectively, and the differences before and after treatment had statistical significance (P<0.001 and P=0.001, respectively). In VM group: the incidence of significant dizziness handicap, depression and anxiety were 76% (38/50) and 56% (28/50) before treatment respectively, and reduced to 24% (12/50) and 16% (8/50) respectively, and the differences before and after treatment had statistical significance (P<0.001 and P<0.001, respectively). Before treatment, the DHI [55.00 (44.00-70.00) vs 31.00 (20.00-45.00), P<0.001] and HADS scores [13.50 (6.00-20.00) vs 6.00 (3.75-10.00), P=0.001] were both higher in VM group than that in BPPV group and what’s more, the scores in functional, emotional and physical items were all significantly higher in VM group than that in BPPV group. After treatment, the scores of DHI [22.00 (12.00-34.00) vs 0 (0-4.00), P<0.001] and HADS scores [7.50 (2.00-10.50) vs 0 (0-3.00), P<0.001] in VM group were still higher than that in BPPV group, and similarly, the scores in functional, emotional and physical items were all higher in VM group than that in BPPV group, and the above differences all had statistical significance. Conclusions The incidence and severity of anxiety and depression were both higher in VM patients than that in BPPV patients, and the incidence greatly declined in VM and BPPV patients after treatment.关键词
眩晕残障量表/医院焦虑抑郁量表/前庭性偏头痛,良性阵发性位置性眩晕Key words
Dizziness Handicap Inventory/Hospital Anxiety and Depression Scale/Vestibular migraine/Benign paroxysmal positional vertigo引用本文复制引用
申园,朱翠婷,李一青,鞠奕..良性阵发性位置性眩晕与前庭性偏头痛患者焦虑抑郁状态比较研究[J].中国卒中杂志,2019,14(8):756-759,4.基金项目
基于HINTS检查的眼动评估系统快速诊断后循环缺血的应用价值及优化研究2-949-03 (首发2016-2-2042-DR) （首发2016-2-2042-DR）
