梅尼埃病患者术后焦虑分析及其与生活质量的关系

Postoperative anxiety and its relationship with life quality in patients with Ménière's diseases

目的:探讨梅尼埃病患者手术治疗后的焦虑及其与生活质量的关系。方法:2010年至2016年间收治住院行内淋巴囊减压手术的68例梅尼埃病患者(梅尼埃病组),通过邮寄方式开展焦虑自评量表、梅尼埃病内淋巴囊减压术生活质量调查问卷的回顾性随访调查。按术前病程、术后随访时间、临床分期、内淋巴囊减压术后生活质量有无改善等指标,将梅尼埃病患者进行分组,分别进行焦虑分析。另选109例性别、年龄相匹配,因耳鼻咽喉方面其他疾病接受手术的患者,填写焦虑量表作为对照组,与梅尼埃病组进行焦虑比较。结果:术前病程小于1年组、1~5年组、大于5年组的梅尼埃病患者术后焦虑程度差异均无统计学意义(均P>0.05);术后随访时间小于24个月组和大于或等于24个月组的梅尼埃病患者术后焦虑程度差异无统计学意义(P>0.05);不同临床分期组的梅尼埃病患者术后焦虑程度差异均无统计学意义(均P>0.05);梅尼埃病患者术后生活质量有改善组和无改善组间焦虑程度差异无统计学意义(P>0.05)。梅尼埃病组与对照组相比,焦虑更普遍、更严重(P<0.01)。结论:梅尼埃病患者术后仍存在一定程度的焦虑,值得关注。

Objective： To investigate the postoperative anxiety and its relationship with life quality in patients with Ménière’s diseases.Methods： A total of 68 patients with Ménière’s disease, who received the treatment of endolymphatic sac decompression from 2010 to 2016, were enrolled. Th ey fi nished two scales （the self-rating anxiety scale and the quality of life questionnaire for endolymphatic sac decompression of Ménière’s disease） by snail mail. The patients were divided into different groups based on their preoperative course, postoperative follow-up time, clinic stage and quality of life after endolymphatic sac decompression surgery, and their anxiety was analyzed. In addition, 109 gender and age-matched patients with other diseases of otorhinolaryngology served as the control group,and their anxiety was also analyzed.Results： There was no statistical difference in the postoperative anxiety among the patients with preoperative course for less than 1 year, 1 to 5 years or more than 5 years （all P〉0.05）. There was no statistical difference in the patients with different duration of follow-up （P〉0.05）. There was no statistical difference in the patients with the different clinic stages （all P〉0.05）. There was no statistical difference in the patients with the improved life or non-improved life after surgery （P〉0.05）. The degree of the anxiety in the Ménière’s group was more severe than that in the control group （P〈0.01）.Conclusion： It needs to keep in mind that a certain degree of postoperative anxiety still keeps in patients with Ménière’s disease.