认知行为干预对伴焦虑状态突发性聋治疗的疗效分析

Cognitive Behavioral Therapy in the Treatment of Sudden Hearing Loss with Comorbid Anxiety

目的分析认知行为干预对治疗伴焦虑状态突发性聋的疗效。方法选取2020年6月—2022年6月郑州大学第一附属医院收治的突发性聋患者353例,其中低频型108例,高频型72例,平坦型81例,全聋型92例。入院24 h内独立完成焦虑自评量表(SAS)评分,标准分>50分,汉密尔顿焦虑量表(HAMA)评分,标准分>17分接受认知行为干预为A组192例,未接受认知行为干预为B组161例,依据突发性聋诊断和治疗指南(2015)进行治疗。A组患者额外接受认知行为干预治疗。结果A、B两组中,低频型患者治疗有效率分别为90.38%(47/52)、75.00%(42/56),高频型患者治疗有效率分别为64.81%(35/54)、61.11%(11/18),平坦型患者治疗有效率分别为77.27%(34/44)、48.65%(18/37),全聋型患者治疗有效疗有效率分别为76.19%(32/42)、52.00%(26/50),A组中低频型、平坦型、全聋型治疗有效率高于B组;A组治疗总有效率高于B组,差异有统计学意义(P<0.05)。结论认知行为干预可提高伴焦虑状态的低频下降型、平坦型、全聋型治疗有效率及治疗总有效率。

Objective To report results of cognitive behavioral therapy in the treatment of sudden hearing loss with comorbid anxiety.Methods Patients with sudden hearing loss(n=353)treated at the First Hospital of Zhengzhou University from June 2012 to June 2014 completed HAMA and SAS evaluation within 24 hours of admission.Those with HAMA score>50 and SAS score>17 received cognitive behavioral therapy(group A)in addition to routine drug treatments also administered to the rest of the patients(group B).The rate of hearing improvement was compared between the two groups using the SPSS17.0 software.analysis on two groups of A and B,comprehensive treatment curative effect comparison,Result For all patterns of hearing loss,the rate of hearing improvement was higher in patients receiving cognitive behavioral therapy than in those who did not(P<0.05).Conclusion In patients with sudden hearing loss and comorbid anxious state,psychological interventions,including education,counseling and relaxation training,is helpful not only to the patient's mental health but also potentially to hearing recovery.