伴不同程度焦虑症状的咽异感症患者临床特征分析

发布时间：2018-04-22 08:43

  本文选题：咽异感症 + 焦虑　； 参考：《临床耳鼻咽喉头颈外科杂志》2017年06期

【摘要】：目的:分析伴不同程度焦虑症状的咽异感症患者的临床资料,了解疾病的基本临床特征及疗效,并初步分析焦虑状态的可能原因。方法:采用焦虑自评量表(SAS)将患者分为轻度、中度和重度焦虑3组,对比分析各组的一般情况、发病相关因素和疗效预后。采用状态-特质焦虑问卷(STAI)对患者进行焦虑状态分析,并和健康对照组比较。以SPSS13.0软件对数据进行统计学分析。结果:①女性(54.05%)伴焦虑症状的比例高于男性(45.95%),且女性伴发中度焦虑的比例高,而男性伴发轻度焦虑的比例高。伴发重度焦虑的比例男女之间差异无统计学意义(P0.05)。②40~59岁年龄段伴发焦虑的比例最高(60.14%),且伴中度和重度焦虑的比例高于18~39岁和≥60岁年龄段(P0.05);后2个年龄段之间比较,不同程度焦虑的患者比例差异无统计学意义(P0.05)。③伴轻度和中度焦虑的患者比例分别在病程5~10年和5年以下最高;3个病程段均有一定比例的患者伴发重度焦虑,但差异无统计学意义(P0.05)。④无固定职业和高中以下学历的患者伴发中度焦虑的比例高于有固定职业和高中及以上学历的患者(P0.05),而伴发轻度和重度焦虑的患者比例与职业和受教育程度无关(P0.05);焦虑程度与婚姻状况无关,无城乡差别(P0.05)。⑤不同程度焦虑的患者中有恐癌症的比例均最高,其次为紧张压力大和精神刺激因素。有恐癌症和自觉紧张压力大的患者比例在重度焦虑组均高于中度和轻度焦虑组(P0.01);精神刺激因素在各组间两两比较,差异无统计学意义(P0.05);异物强迫思维症和精神病家族史在各组中的比例均较低,组间差异无统计学意义(P0.05)。⑥伴不同程度焦虑的男性和女性患者分别与健康对照组男性和女性比较,状态焦虑(S-AI)得分均差异有统计学意义(P0.05),而特质焦虑(T-AI)得分均差异无统计学意义(P0.05)。⑦轻、中度焦虑组治愈率(P0.05)和总有效率(P0.01)均高于重度焦虑组,轻度焦虑和中度焦虑组治愈率和总有效率分别比较,差异无统计学意义(P0.05)。结论:伴不同程度焦虑症状的咽异感症患者具有各自不同的临床特征和预后,疾病长期得不到改善是导致精神焦虑的主要原因,患者呈现状态焦虑,与常人相比无明显焦虑潜质。
[Abstract]:Objective: to analyze the clinical data of patients with different anxiety symptoms, to understand the basic clinical characteristics and curative effects of the disease, and to analyze the possible causes of anxiety. Methods: the patients were divided into mild, moderate and severe anxiety groups by self-rating anxiety scale (SAS). State-trait anxiety questionnaire (STAI) was used to analyze the anxiety state of the patients and compared with the healthy control group. The data were analyzed by SPSS13.0 software. Results the proportion of female with anxiety symptom was higher than that of male (45.95%), and the proportion of female with moderate anxiety was higher than that of male with mild anxiety. There was no significant difference in the proportion of severe anxiety between men and women. There was no significant difference between men and women. The proportion of anxiety associated with severe anxiety was 60.145.The proportion of moderate and severe anxiety was higher than that of 180-39 years and 鈮，

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