【摘要】目的 探讨心理干预联合地西泮对突发性耳聋伴焦虑患者的治疗效果。方法 将在我院住院治疗的108 例突发性耳聋伴焦虑的患者随机分为两组：对照组54例，给予常规突发性耳聋的治疗；研究组54例，在对照组的基础上给予地西泮片2.5mg，一天两次口服。治疗10天后复查听力及HAMA、SAS 评分。结果 治疗10 天后对照组和研究组患者平均听阈分别提高19.65±7.89 dB和26.93±9.04 dB (t=4.54, p=0.006)，HAMA评分(F=19.428, p <0.05 )及SAS评分(f=24.385, p <0.05) 明显下降，治疗总有效率分别为61.11%和77.78%（χ2=4.441, p=0.035），差异均有统计学意义。结论 心理干预联合地西泮治疗能有效缓解突发性耳聋患者的焦虑情绪，对突发性耳聋患者的发展和预后有积极作用。
Efficacy of psychological intervention combined with diazepam in the treatment of Sudden Sensorineural Hearing Loss with anxiety patients
[Abstract] Objective To investigate the treatment effect of psychological intervention combined with diazepam for sudden hearing loss patients with anxiety. Methods 108 cases of sudden deafness patients with anxiety were randomly divided into two groups: 54 cases in the control group received routine treatment of sudden deafness; the study group with 54 cases, were given diazepam tablets 5mg, bid oral based on the routine treatment. After 10 days of treatment, reexamination listening, retest SAS score and HAMA score. Results After 10 days of treatment, the average hearing threshold of patients in the control group and the study group were increased by 19.65±7.89 dB and 26.93±9.04 dB (t=4.54, p=0.006), the HAMA score (F=19.428, P <0.05) and SAS score (f=24.385, P <0.05) were significantly decreased of the two groups, and the total efficiency of two groups were 61.11% and 77.78% (2=4.441, p=0.035), the differences were statistically significant. Conclusion Psychological intervention combined with diazepam can relieve anxiety in patients with sudden deafness effectively, and play a positive role in the development and prognosis of patients with sudden hearing loss.
【KeyWords】Psychological intervention; Diazepam; Anxiety; Sudden Hearing Loss; HAMA Score
1 资料与方法 2
1.2.1 病例入选标准 2
1.2.2 病例排除标准 2
2 结 果 3