突发性聋30例精神心理状况分析

doi:10.6040/j.issn.1673-3770.0.2018.112

摘要/Abstract

摘要： 目的初步了解突发性聋患者的精神心理状况。方法对30例突发性聋患者(突聋组)及20例健康对照成人(对照组)进行90项症状自评量表(SCL-90)心理学测试及血浆中5-羟色胺(5-HT)检测。结果突聋组SCL-90总分为(121.69±22.53)分,总均分为(1.35±0.25)分,对照组SCL-90总分为(111.65±15.25)分,总均分为(1.23±0.25)分。突聋组SCL-90总分及总均分与对照组比较,P均>0.05。但突聋组躯体化、抑郁、偏执和其他(睡眠、饮食等)这四个因子分均高于对照组(P均<0.05)。突聋组5-HT含量较对照组降低(P<0.05),SCL-90评分与血浆5-HT水平呈负相关(r=-0.507, P=0.004)。结论突发性聋患者较正常人有轻度心理精神障碍倾向,存在明显抑郁、偏执及睡眠等障碍,且5-HT含量较正常人明显减少。

关键词: 突发性聋, 精神心理, 抑郁, 5-羟色胺, 90项症状自评量表

Abstract: Objective To investigate the psychopathological characteristics of patients with sudden sensorineural hearing loss(SSHL). Methods The Symptom Checklist-90(SCL-90)scores and plasma 5-hydroxytryptamine(5-HT)levels were determined in 30 patients with SSHL and 20 healthy adult controls. Results The total and average SCL-90 scores were 121.69±22.53 and 1.35±0.25, respectively, in the SSHL group, and 111.65±15.25 and 1.23±0.25 in the control group. There were no significant differences in total and average scores between the two groups(P>0.05). However, the SCL-90 scores for the four dimensions of somatization, depression, paranoia, and other(sleep, diet, etc.)were higher in the SSHL group than in the control group, and the difference was statistically significant(P< 0.05). The plasma 5-HT level in the SSHL group was significantly lower than in the normal control group(P<0.05)and the SCL-90 score was negatively correlated with the plasma 5-HT (r=-0.507, P=0.004). Conclusion Compared with healthy adults, patients with SSHL show a tendency toward mild psychopathology. Patients with SSHL have clear evidence of depression, paranoia, and sleep disorders, and significantly lower plasma 5-HT levels compared to healthy adults.

Key words: Depression, 5-hydroxytryptamine, Symptom Checklist-90, Sudden hearing loss, Psychopathological characteristics

中图分类号:

R764.437

朱文燕,金新,佘万东,马永驰. 突发性聋30例精神心理状况分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 50-52.

ZHU Wenyan, JIN Xin, SHE Wandong, MA Yongchi. Assessment of psychopathological characteristics in 30 patients with sudden sensorineural hearing loss[J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 50-52.

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