引用本文:房建忠,廖声潮,邵长江,莫 凯,龙 飞,邝 泓,秦坤明.原发性三叉神经痛患者并发焦虑抑郁的调查研究[J].中国临床新医学,2018,11(9):858-861.
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原发性三叉神经痛患者并发焦虑抑郁的调查研究
房建忠*,廖声潮,邵长江,莫 凯,龙 飞,邝 泓,秦坤明
530007 南宁,广西医科大学第二附属医院神经外科

*现在山西省晋中市第一人民医院神经外科工作
摘要:
[摘要] 目的 调查原发性三叉神经痛患者伴发焦虑抑郁情况,并分析相关的影响因素。方法 收集168例诊断为原发性三叉神经痛患者的人口学资料,应用视觉模拟量表(VAS)进行疼痛评分,采用Zung抑郁自评量表(SDS)及Zung焦虑自评量表(SAS)分别进行抑郁、焦虑评分,并对评分结果及相关影响因素进行分析。结果 168例原发性三叉神经痛患者中存在抑郁症状47例(28.0%),焦虑症状40例(23.8%),同时有抑郁焦虑症状22例(13.1%)。疼痛评分7分以上患者伴发焦虑症状的发病率明显高于疼痛评分7分以下患者;接受一种治疗方式患者伴发焦虑症状的发病率明显低于接受两种及两种以上治疗方式患者,差异均有统计学意义(P<0.05)。疼痛评分7分以上患者伴发抑郁症状的发病率明显高于疼痛评分7分以下患者;疼痛位于右侧者抑郁明显高于左侧者;病程在5年以上患者伴发抑郁症状的发病率明显高于病程在5年以下患者,差异均有统计学意义(P<0.05)。结论 原发性三叉神经痛患者伴发较高比例的焦虑和抑郁。焦虑与疼痛程度及接受治疗方式的种类等因素有关,抑郁与疼痛程度、疼痛左右侧及疼痛病程等因素有关。
关键词:  原发性三叉神经痛  焦虑  抑郁  视觉模拟量表
DOI:10.3969/j.issn.1674-3806.2018.09.03
分类号:R 745
基金项目:广西卫计委科研课题(编号:Z2016283)
Clinical study on anxiety and depression in patients with primary trigeminal neuralgia
FANG Jian-zhong, LIAO Sheng-chao, SHAO Chang-jiang, et al.
Department of Neurorsurgery, the Second Affiliated Hospital of Guangxi Medical University, Nanning 530007, China
Abstract:
[Abstract] Objective To investigate the incidence of anxiety and depression in patients with primary trigeminal neuralgia and to analyze the related factors. Methods One hundred and sixty-eight patients diagnosed with primary trigemial neuralgia(58 males and 110 females) were included in the study. The demographic data of all the subjects were collected. The severity of pain was assessed with Visual Analogue Scale(VAS), and the anxiety and depression were evaluated with Zung Self-rating Anxiety Scale(SAS) and Zung Self-rating Depression Scale(SDS), respectively. The demographic data, the scores of the above scales and the related factors were analyzed. Results Of the 168 patients with primary trigeminal neuralgia, 40 cases(23.8%) had anxiety, 47 cases(28.0%) had depression, and 22 cases(13.1%) had both anxiety and depression. The patients with pain scores ≥7 had significantly higher incidence of anxiety and depression than those with pain scores<7. The incidence of anxiety symptoms in the patients receiving one treatment was significantly lower than that in the patients receiving two or more treatments. The depression rate in the patients with pain in the right side was significantly higher than that in the patients with pain in the left side. The incidence of depressive symptoms in the patients with the course of illness more than 5 years was significantly higher than that in the patients with the course of illness less than 5 years(P<0.05). Conclusion The patients with primary trigeminal neuralgia have higher incidence of anxiety and depression which are affected by many factors.
Key words:  Primary trigeminal neuralgia  Anxiety  Depression  Visual analogue scale