79例神经性耳鸣患者不同中医证型与焦虑的相关性分析

Correlation Analysis of Different TCM Syndrome Types and Anxiety in 79 Cases of Neuropathic Tinnitus Patients

摘要: 目的：探讨云南省昆明地区神经性耳鸣患者不同中医证型与焦虑的相关性，为临床早期干预提供依据，为前期治疗提供新的思路。方法：收集云南省中医医院耳鼻喉科符合研究纳入标准的患者79例，对所有研究对象进行耳鸣中医证型判定及焦虑量表评分，建立数据库，采用SPASS22.0分析患者神经性耳鸣患者不同中医证型与焦虑相互关系。结果：79例患者中肝火上扰证(26例，33%)、痰火郁结证(24例，30.3%)居前位，不同中医证型与焦虑具有相关性(P < 0.05)。结论：云南省昆明地区神经性耳鸣患者不同中医证型与焦虑存在相关性。耳鸣的五种中医证型中，肝火上扰证、痰火郁结证为耳鸣伴焦虑的高危证型，此研究对神经性耳鸣伴焦虑早期诊疗具有一定的临床运用价值。

Abstract: Objective: To explore the correlation between different TCM syndromes and anxiety in neurological tinnitus patients in Kunming, Yunnan Province, and to provide a basis for early clinical intervention and new ideas for preliminary treatment. Methods: 79 patients from the otolaryngology department of Yunnan Hospital of Traditional Chinese Medicine who met the inclusion criteria, all the research subjects were judged by tinnitus TCM syndrome type and anxiety scale, and a database was established. The analysis of the relationship between different TCM syndrome types and anxiety was conducted by SPASS22.0. Results: Among 79 patients, hepatic syndrome (26, 33%) and sputum depression syndrome (24, 30.3%) were in the top, and different TCM syndromes were related to anxiety (P < 0.05). Conclusion: There is a correlation between different TCM syndromes and anxiety in neurological tinnitus patients in Kunming, Yunnan Province. Among the five TCM types of tinnitus, the disturbance and phlegm syndrome are the high-risk types of tinnitus with anxiety. This study has certain clinical value for the early diagnosis and treatment of neurologic tinnitus with anxiety.