148例多囊卵巢综合征患者焦虑抑郁状况及其相关因素分析
发布时间：2018-07-16 20:54
【摘要】：目的 了解多囊卵巢综合征(PCOS)患者人口学特征、疾病相关情况、焦虑和抑郁状况,分析PCOS患者焦虑、抑郁的影响因素。通过提供客观参考数据,以期能预防PCOS焦虑、抑郁的发生并及时给予PCOS伴有焦虑、抑郁的患者正确的心理疏导与治疗。 方法 应用自制的多囊卵巢综合征调查表、痤疮评分表(Pillsbury分级法)、黑棘皮(Acanthosis nigricans)评分表、Ferriman-Gallwey多毛评分表、焦虑自评量表(SAS)及抑郁自评量表(SDS)对就诊于成都中医药大学附属医院妇科门诊符合PCOS纳入标准的患者进行问卷调查。将收集的数据录入Excel,利用SPSS17.0对数据进行统计学方法分析。 结果 (1)148例PCOS患者中,焦虑患者42例,焦虑的发生率为28.38%,SAS平均分43.43±8.58分；抑郁患者44例,抑郁的发生率29.73%,SDS平均分44.61±9.59分。焦虑合并抑郁的患者30例,焦虑合并抑郁的发生率20.27%。 (2)月经量：月经量异常组焦虑、抑郁检出率均高于月经量正常组(P0.05)。 (3)LH/FSH比值：LH/FSH(?)2组比LH/FSH2组焦虑检出率高(P0.05)。 (4) FT:FT值升高组焦虑、抑郁检出率均高于FT值正常组(P0.05)。 (5)经多元Logistie回归分析证明：月经量、游离睾酮是PCOS患者焦虑抑郁的影响因素。 结论 多囊卵巢综合征患者的焦虑、抑郁患病率较高。PCOS患者焦虑、抑郁的影响因素有：月经量、游离睾酮值。监床医生在治疗PCOS患者身体疾病的同时也应关注患者的心理健康状况。
[Abstract]:objective
To understand the demographic characteristics, disease related conditions, anxiety and depression status of patients with polycystic ovary syndrome (PCOS), analyze the influence factors of anxiety and depression in PCOS patients. By providing objective reference data, it is expected to prevent PCOS anxiety, depression and timely give PCOS with anxiety and depression, and the patients with depression are correct psychological counseling and treatment.
Method
Using the self-made polycystic ovary syndrome questionnaire, the acne score table (Pillsbury grading), the Acanthosis nigricans score table, the Ferriman-Gallwey polyhair score table, the self rating Anxiety Scale (SAS) and the self rating Depression Scale (SDS), the patients who were admitted to the Department of gynaecology of the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine were in accordance with the standard of PCOS. Questionnaire survey. The data collected were input into Excel, and SPSS17.0 was used for statistical analysis of data.
Result
(1) of the 148 patients with PCOS, 42 were anxiety patients, the incidence of anxiety was 28.38%, and the average score of SAS was 43.43 + 8.58; 44 cases of depression, 29.73% of depression, 44.61 + 9.59 for SDS, 30 in anxiety with depression, and 20.27%. for anxiety and depression.
(2) menstrual volume: the abnormal rate of menstrual abnormality and the detection rate of depression were higher than those of normal menstrual volume (P0.05).
(3) LH/FSH ratio: LH/FSH (?) 2 group had higher anxiety detection rate than group LH/FSH2 (P0.05).
(4) the detection rate of anxiety and depression in FT:FT group was higher than that in FT group (P0.05).
(5) multivariate Logistie regression analysis showed that menstrual volume and free testosterone were the influencing factors of anxiety and depression in PCOS patients.
conclusion
The anxiety of patients with polycystic ovary syndrome (PCOS), the prevalence of depression in.PCOS patients is higher, and the factors of depression are the amount of menstruation and the value of free testosterone. The doctor in prison should also pay attention to the mental health of the patients in the treatment of PCOS patients.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R711.75
本文编号：2127642
[Abstract]:objective
To understand the demographic characteristics, disease related conditions, anxiety and depression status of patients with polycystic ovary syndrome (PCOS), analyze the influence factors of anxiety and depression in PCOS patients. By providing objective reference data, it is expected to prevent PCOS anxiety, depression and timely give PCOS with anxiety and depression, and the patients with depression are correct psychological counseling and treatment.
Method
Using the self-made polycystic ovary syndrome questionnaire, the acne score table (Pillsbury grading), the Acanthosis nigricans score table, the Ferriman-Gallwey polyhair score table, the self rating Anxiety Scale (SAS) and the self rating Depression Scale (SDS), the patients who were admitted to the Department of gynaecology of the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine were in accordance with the standard of PCOS. Questionnaire survey. The data collected were input into Excel, and SPSS17.0 was used for statistical analysis of data.
Result
(1) of the 148 patients with PCOS, 42 were anxiety patients, the incidence of anxiety was 28.38%, and the average score of SAS was 43.43 + 8.58; 44 cases of depression, 29.73% of depression, 44.61 + 9.59 for SDS, 30 in anxiety with depression, and 20.27%. for anxiety and depression.
(2) menstrual volume: the abnormal rate of menstrual abnormality and the detection rate of depression were higher than those of normal menstrual volume (P0.05).
(3) LH/FSH ratio: LH/FSH (?) 2 group had higher anxiety detection rate than group LH/FSH2 (P0.05).
(4) the detection rate of anxiety and depression in FT:FT group was higher than that in FT group (P0.05).
(5) multivariate Logistie regression analysis showed that menstrual volume and free testosterone were the influencing factors of anxiety and depression in PCOS patients.
conclusion
The anxiety of patients with polycystic ovary syndrome (PCOS), the prevalence of depression in.PCOS patients is higher, and the factors of depression are the amount of menstruation and the value of free testosterone. The doctor in prison should also pay attention to the mental health of the patients in the treatment of PCOS patients.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R711.75
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