耳鸣患者伴发焦虑抑郁情绪状况及抗焦虑抗抑郁治疗的临床效果观察
Observation on the emotional state of anxiety and depression in tinnitus patients and the clinical effect of anti anxiety and anti depression treatment
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2024, 51(1) |
| 作者 |
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| 作者单位 |
南京江北医院 耳鼻咽喉科 ;
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| 摘要 |
【摘要】目的：探讨耳鸣患者伴发焦虑抑郁后，采用不同方案进行干预的价值。方法：以EXCEL表格统计2020年4月~2022年12月本院收治的118例耳鸣后焦虑、抑郁患者研究，以序贯平衡法分组，一组接受心理干预（纳入对照），二组在一组基础上接受帕罗西汀+枸橼酸坦度螺酮片治疗（纳入观察）。对比118例患者的临床疗效，并分析干预后患者听阈、心理状态、睡眠质量变化。结果：观察组59例患者经药物联合心理干预治疗后临床疗效高于对照组（P<0.05）；观察组睡眠状况自评量表（Self- Rating Scale of Sleep，SRSS）评分低于对照组（P<0.05）；观察组汉密顿抑郁量表-17（Hamilton Depression Scale-17，HAMD-17）、汉密顿焦虑量表（Hamilton Anxiety Scale，HAMA）评分低于对照组（P<0.05）；观察组听阈低于对照组（P<0.05）。结论：在耳鸣后焦虑、抑郁治疗中选择药物联合心理干预的方案，既可提高整体治疗效果，同时可改善其焦虑、抑郁状态，减轻疾病对其睡眠质量的影响，值得借鉴与实施。
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| Abstract |
Abstract: Objective: To explore the value of different intervention plans for tinnitus patients with anxiety and depression. Methods: The data of 118 patients with post tinnitus anxiety and depression admitted to our hospital from April 2020 to December 2022 were analyzed with EXCEL form. The patients were divided into two groups by sequential balance method. The first group received psychological intervention (included in the control group), and the second group received Paroxetine+Tandospirone citrate tablets on the basis of the first group (included in the observation group). Compare the clinical efficacy of 118 patients and analyze the changes in their hearing threshold, psychological state, and sleep quality after intervention. Result: The clinical efficacy of 59 patients in the observation group after medication combined with psychological intervention treatment was higher than that in the control group (P<0.05); The Self Rating Scale of Sleep (SRSS) score of the observation group was lower than that of the control group (P<0.05); The Hamilton Depression Scale-17 (HAMD-17) and Hamilton Anxiety Scale (HAMA) scores in the observation group were lower than those in the control group (P<0.05); The hearing threshold of the observation group was lower than that of the control group (P<0.05). Conclusion: Choosing a combination of medication and psychological intervention in the treatment of anxiety and depression after tinnitus can not only improve the overall treatment effect, but also improve their anxiety and depression status, reduce the impact of the disease on their sleep quality, and is worth learning from and implementing.
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| 关键词 |
关键词：耳鸣；焦虑抑郁；心理状态；睡眠质量；听阈
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| KeyWord |
Keywords: Tinnitus; Anxiety and depression; Psychological state; Sleep quality; Auditory threshold
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| 基金项目 |
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| 页码 |
253-255 |
郑俊*.
耳鸣患者伴发焦虑抑郁情绪状况及抗焦虑抗抑郁治疗的临床效果观察 [J].
国际精神病学杂志.
2024; 51; (1).
253 - 255.