突发性聋患者焦虑与抑郁的相关影响因素探讨

Discussion on related influencing factors of anxiety and depression in patients with sudden deafness

目的探讨突发性聋患者焦虑、抑郁的相关影响因素。方法回顾性分析2019年5月至2021年5月抚顺市第二医院收治的240例突发性聋患者的临床资料,采用单因素及多因素Logistic回归分析突发性聋患者焦虑、抑郁的危险因素。结果240例患者中发生焦虑患者60例,无焦虑患者180例;发生抑郁患者65例,无抑郁患者175例。单因素分析显示,焦虑患者性别、疾病阶段、耳鸣程度、耳聋程度均为突发性聋患者焦虑、抑郁的影响因素(P<0.05)。多因素Logistic回归分析结果显示,急性期突发性聋、中度及重度耳鸣、中度耳聋是突发性聋患者焦虑、抑郁的独立危险因素(P<0.05)。结论突发性聋患者出现焦虑、抑郁与疾病阶段为急性期、耳鸣程度为中度及重度、耳聋程度为中度密切相关,临床可据此给予患者针对性预防措施,以降低患者焦虑、抑郁发生率。

Objective To explore the related influencing factors of anxiety and depression in patients with sudden deafness.Methods The clinical data of 240 patients with sudden deafness admitted to Fushun Second Hospital from May 2019 to May 2021 were retrospectively analyzed.Univariate and multivariate Logistic regression analysis were used to analyze the risk factors of anxiety and depression in patients with sudden deafness.Results Among the 240 patients,60 had anxiety and 180 had no anxiety.There were 65 patients with depression and 175 patients without depression.Univariate analysis showed that gender,disease stage,tinnitus degree and deafness degree were the influencing factors of anxiety and depression in patients with sudden deafness(P<0.05).Multivariate Logistic regression analysis showed that acute sudden deafness,moderate and severe tinnitus,and moderate deafness were independent risk factors for anxiety and depression in patients with sudden deafness(P<0.05).Conclusion Anxiety and depression in patients with sudden deafness are closely related to the acute stage of the disease,moderate and severe tinnitus,and moderate deafness,clinically,targeted preventive measures can be given to patients to reduce the incidence of anxiety and depression.