眩晕患者的行为类型量化分析

doi:10.6040/j.issn.1673-3770.0.2019.030

摘要/Abstract

摘要： 目的

探讨眩晕患者的行为类型与眩晕发作的关系，以及不同行为类型对患者症状的影响。

方法

回顾性调查2017年12月~2018年12月在青岛市立医院东院耳鼻喉科行前庭功能检查/以眩晕为主诉就诊的56例患者(实验组)的临床资料，并以60例既往无眩晕发作的健康人作为正常对照组。实验组采用眩晕量表（DHI）、A型行为类型量表（TABP）进行测评，对照组采用TABP进行测评。比较眩晕患者之间不同行为类型所占比例与正常对照组之间的差异，分析不同行为类型对耳源性眩晕患者的影响。

结果

实验组眩晕患者中的A型行为类型和偏A型行为类型所占比例达46.43%，而对照组中A型行为类型和偏A型行为类型仅占23.33%，两者差异具有统计学意义( $χ 2$ =6.839，Ρ<0.05)，眩晕患者的A型行为类型所占比例明显高于正常对照组。A型行为类型患者的眩晕程度，与非A型行为类型患者相比，差异无统计学意义（ $χ 2$ =0.020，Ρ>0.05）。

结论

眩晕患者中A型行为类型所占比例显著高于无眩晕发作的正常人群，提示眩晕患者更倾向具有A型行为。但典型A型行为类型患者眩晕所带来的症状对其情绪、生活影响未明显高于其他行为类型患者。

关键词: 眩晕, 行为类型, 治疗结局

Abstract: Objective

To investigate the relationship between behavior patterns and vertigo in patients experiencing vertigo, and the relationship between different behavior patterns and symptoms.

Methods

This retrospective study was conducted in 56 patients with vertigo at the Department of Otolaryngology of Eastern Qingdao Municipal Hospital from December 2017 to December 2018. Sixty people with no previous vertigo were recruited as the control group. The participants were evaluated with the Dizziness Handicap Inventory（DHI） and Type A Behavior Pattern (TABP) scale. The control group was evaluated using only TABP scale. We compared the proportion of different behavior patterns between vertigo patients and the control group, and then analyzed the influence of different behavior patterns on otogenic vertigo symptoms.

Results

The proportion of Type A behavior and tendency to Type A behavior was 46.43% in the vertigo patients and 23.33% in the individuals without vertigo. The difference between the two groups was statistically significant ( $χ 2$ = 6.839, Ρ <0.05). The proportion of Type A behaviors in patients with vertigo was significantly higher than that in the control group. The degree of dizziness in patients with Type A behavior was not statistically significant compared with patients with non-Type A behavior ( $χ 2$ =0.020, Ρ >0.05).

Conclusion

The proportion of Type A behavior in vertigo patients with vertigo was significantly higher than that in the normal perple without vertigo attacks, suggesting that patients with vertigo are more likely to have Type A behavior. However, the symptoms of Type A behavior in patients with vertigo did not have a greater impact on their emotions and life compared with other behavioral pattern types.

Key words: Vertigo, Behavior pattern, Treatment outcome

中图分类号:

R764

李传硕,李永团,曹海南,张孟璐. 眩晕患者的行为类型量化分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 32-36.

Chuanshuo LI,Yongtuan LI,Hainan CAO,Menglu ZHANG. Quantitative analysis of behavior pattern in vertiginous patients[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 32-36.

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