焦虑对良性阵发性位置性眩晕复位治疗效果的影响

The Effect of Anxiety on the Effect of Reduction Treatment for Benign Paroxysmal Positional Vertigo

目的研究焦虑对良性阵发性位置性眩晕复位治疗效果的影响。方法选取2019年7月-2020年10月在该院神经内科眩晕中心收治的良性阵发性位置性眩晕患者120例。将患者经过汉密尔顿焦虑量表评分后,根据患者评分情况分为研究组(65例),和对照组(55例),研究组为具有焦虑组,对照组为无焦虑组。两组患者均采用手法复位的方法,在对患者治疗2周以及患者治疗3个月后对患者进行随访调查,收集患者对治疗的评价以及治疗的疗效和患者出现复发的情况。结果研究组患者在接受治疗2周、3个月后,研究组有效率分别为80.00%、81.54%,低于对照组有效率的94.55%、98.18%,差异有统计学意义(χ^(2)=5.455、8.543,P<0.05);研究组患者在接受治疗3个月后的复发率(12.30%)高于对照组(7.28%),差异有统计学意义(χ^(2)=4.013,P<0.05)。结论患者存在焦虑的情绪对良性阵发性位置性眩晕的治疗效果会产生影响,存在焦虑的患者通过手法复位治疗的有效率会降低,患者再度复发的可能性也会升高。

Objective To study the effect of anxiety on the treatment of benign paroxysmal positional vertigo.Methods A total of 120 patients with benign paroxysmal positional vertigo who were admitted to the vertigo center of the department of neurology of the hospital from July 2019 to October 2020 were selected.After the patients were scored by the hamilton anxiety scale,they were divided into a study group(65 cases)and a control group(55 cases)according to their scores.The study group was an anxiety group,and the control group was an anxiety-free group.The treatment methods of the two groups of patients were manual reduction.After the patients were treated for 2 weeks and the patients were treated for 3 months,the patients were followed up and surveyed,and the evaluation of the treatment,the curative effect of the treatment and the recurrence of the patients were collected.Results After 2 weeks and 3 months of treatment in the study group,the effective rates of the study group were 80.00%and 81.54%,respectively,which were lower than the effective rates of 94.55%and 98.18%in the control group,the difference was statistically significant(χ^(2)=5.455,8.543,P<0.05).The recurrence rate of patients in the study group(12.30%)after 3 months of treatment was higher than that of the control group(7.28%),and the difference was statistically significant(χ^(2)=4.013,P<0.05).Conclusion The anxiety of patients will have an impact on the treatment effect of benign paroxysmal positional vertigo.The effective rate of manual reduction therapy in patients with anxiety will be reduced,and the possibility of recurrence of patients will also increase.