耳鸣患者焦虑状况分析

An Analysis of Anxiety in Tinnitus Population

目的：分析以耳鸣为第一主诉患者的焦虑状况。方法224例以耳鸣为第一主诉的患者填写焦虑自评量表（self －rating anxiety scale ，SAS）、普通话版耳鸣残疾评估量表[Chinese （Mandarin） tinnitus handicap inven‐tory ，T HI－CM ]，分析耳鸣患者的焦虑状况。结果224例耳鸣患者焦虑自评量表平均标准得分为46±12．55分，无焦虑（＜50分）、轻度焦虑（50～59分）、中度焦虑（60～69分）、重度焦虑（≥70分）者分别占65．63％（147／224）、20．54％（46／224）、8．04％（18／224）、5．80％（13／224）；男性和女性耳鸣患者 SAS平均标准得分分别为46．35±12．81、46．28±12．40分，男女间SAS平均标准得分及不同焦虑程度者SAS平均标准得分差异均无统计学意义；青年组、中年组、老年组SAS平均标准分分别为47．72±12．80、44．56±12．83、40．28±7．24分，青年组SAS得分高于老年组（P＜0．01）；耳鸣时间和SAS标准得分Pearson相关性为0．36（P＝0．594），THI－CM和SAS的Pearson相关性为0．548（ P＜0．01）。结论大部分耳鸣患者不伴或仅有轻度焦虑，少数耳鸣患者（13．84％）伴中度或重度焦虑情绪；焦虑情绪使耳鸣导致的残疾程度增加，耳鸣患者的焦虑情绪与性别、耳鸣病程无关；青年组耳鸣患者焦虑程度高于老年组。

Objective We undertook this study to analyze anxiety in tinnitus patients .Methods The partici‐pants were recruited from patients seeking treatment for primary tinnitus and were asked to complete self rating anx‐iety scale（SAS）and Chinese （Mandarin） tinnitus handicap inventory（THI -CM） .Results A total of 224 tinnitus patients were included in the study .The mean score of SAS was 46 ± 2 .55 .The average SAS score among different degrees of anxiety （no ,mild ,moderate ,severe） participants were 65 .63% ,20 .54% ,8 .04% ,5 .80% .The average SAS score for male and female were 46 .35 ± 12 .81 ,46 .28 ± 12 .40 ,respectively .No statistic differences were ob‐served among different genders whenever the degrees of anxiety and different ages （p〉0 .01） .The mean SAS scores among young ,middle ,old age groups were 47 .72 ± 12 .80 ,44 .56 ± 12 .83 ,40 .28 ± 7 .24 ,respectively .The pearson correlation between tinnitus duration and the score of SAS was 0 .36（P=0 .594） .The pearson correlation between the scores of THI-CM and SAS was 0 .548（P〈0 .01） .Conclusion Most tinnitus participants had mild or didn＇t have anxiety .Only 13 .84% participants have moderate or severe anxiety .Tinnitus handicap degree increased with the increase of anxiety .No anxiety difference was observed among different sex ,tinnitus duration and age groups . The anxiety of young age group was more severe than that of old groups .