Investigation And Analysis Of The Etiology Of Patients With Various Types Of Vestibular Syndrome In Otolaryngology Head And Neck Surgery

Objective: To conduct a questionnaire survey on outpatients with vertigo in otorhinolaryngology head and neck surgery,and to analyze the etiology of various types of vestibular syndrome by statistical analysis.and analyze the depression and anxiety in patients with acute,paroxysmal and chronic vestibular syndrome.Methods: Questionnaires were used to collect data in the department of otorhinolaryngology,head and neck surgery,affiliated Hospital of Changchun University of traditional Chinese Medicine,including vertigo questionnaire,GAD-7 generalized anxiety disorder scale and PHQ-9 depression screening scale.After the investigation,a database was set up to screen the qualified data,analyze the results and draw a conclusion.Results: 1.There were 88 patients with acute vestibular syndrome,with an average age of 53.0 ±11.9 years,including 33 males and 55 females,without specific diagnosis 24,vestibular neuritis 31,sudden deafness with vertigo 32,and labyrinthitis 1.There were 352 patients with paroxysmal vestibular syndrome with an average age of 51.8 ±14.3 years,including 113 males and 239 females,including 30 cases of undiagnosed,80 cases of vestibular migraine,147 cases of benign paroxysmal positional vertigo,71 cases of Menieres disease,5 cases of posterior circulation ischemia,2 cases of perilymphatic leakage,3 cases of postural hypotension,10 cases of benign recurrent vertigo and 2 cases of adolescent benign paroxysmal vertigo.Acute attack of chronic otitis media was found in 2 cases.There were 64 cases of chronic vestibular syndrome with an average age of 55.0 ±15.2 years,including 24 males and 40 females,24 without specific diagnosis,bilateral vestibular dysfunction 8,persistent postural-perceptual dizziness 8 and acoustic neuroma 3.2.Among patients with vestibular syndrome,there are more women than men,with a ratio of approximately 2: 1.Among female patients,middle-aged people are the most,and elderly women are the second.Among male patients,middle-aged people are the most,young people are second.3.There was no difference in the probability of suffering from acute,paroxysmal and chronic vestibular syndrome between males and females.4.The subjective scores of patients aged 18-44,45-59,and over 60 years were higher than those of patients aged 0-17.5.There was no significant difference in the degree of depression and anxiety among patients of different ages.6.The probability of depression and anxiety in patients with underlying diseases was higher than that in patients without underlying diseases.7.The probability of depression and anxiety in patients with frequent seizures was significantly higher than that in patients with low frequency of seizures.8.The probability of depression and anxiety in patients with chronic vestibular syndrome was significantly higher than that in patients with paroxysmal and acute vestibular syndrome.There was no significant difference in the levels of depression and anxiety in patients with various types of vestibular syndrome.Conclusion: 1.Among the 504 eligible research subjects,there are more female patients than male patients,the ratio is about 2:1,of which middle-aged women have the highest incidence,followed by elderly women.Among male patients,middle-aged people are the most frequent population,followed by young people.2.In general,the number of patients with paroxysmal vestibular syndrome is the largest,the number of patients with acute vestibular syndrome is the second,and the number of patients with chronic vestibular syndrome is the least.From various diseases,benign paroxysmal positional vertigo is the most common,and the vestibular partial Headache and Menieres disease are second.3.There is no statistically significant difference in the probability of acute,paroxysmal,and chronic vestibular syndrome between patients of different genders.Minor consciousness of dizziness has little effect on life.4.Patients with basic diseases and frequent attacks have a higher probability of depression and anxiety.5.Chronic patients have a higher probability of depression and anxiety,but there is no significant difference in the degree of depression and anxiety associated with patients with various types of vestibular syndrome.