56例Bell's面瘫患者焦虑症状分析

Status of anxiety in the patients with facial paralysis(56 cases report)

目的探讨Bell's面瘫患者的焦虑状况及其相关因素。方法采取汉密尔顿焦虑量表(HAMA)对56例已确诊Bell's面瘫的患者进行评分,并将56例按相关因素分组,然后比较组间焦虑状况的差异。结果 Bell's面瘫患者有明确焦虑症状的49例,达到了87.7%,并且与患者性别、年龄、病程有关。女性患者较男性患者伴有焦虑症状的比例要高,<30岁的患者比≥30岁的患者更易发生焦虑,但面瘫严重程度与焦虑严重程度无相关关系。结论 Bell's面瘫患者有较高的焦虑症并发率,特别是年轻女性患者。而且应警惕轻度面瘫患者可能并发严重焦虑症状。Bell's面瘫诊治过程中应重视这类患者的心理问题。

Objective To explore the anxiety of the patients with Bell′s facial paralysis and its influencing factors.Methods 56 patients with Bell′s facial paralysis were rated with the Hamilton anxiety scale.All the patients were grouped by relevant factors,and the differences among the groups were compared.Results There were 49 patients（87.7%） with obvious symptoms of anxiety,which was related to gender,age and the course of disease.The proportion of female patients suffering from anxiety was higher than the males.Patients less than 30 years old showed more severe anxiety than those over 30.No correlation was found between the severity of facial paralysis and anxiety.Conclusion Anxiety was common in the Bell′s facial paralysis patients,especially in young women.Patients with mild facial paralysis may be accompanied with severe symptoms of anxiety.More attention should be paid to psychological problems of such Bell′s facial paralysis patients.