老年住院慢性便秘患者的焦虑抑郁状态和睡眠状况

发布时间：2018-03-19 22:20

本文选题：慢性便秘　切入点：抑郁　出处：《中国老年学杂志》2016年08期 　论文类型：期刊论文

【摘要】：目的研究老年住院慢性便秘(CC)患者的焦虑状态、抑郁状态和睡眠障碍的情况及其与结肠传输功能之间的关系。方法调查105例老年CC的长期住院患者,并同时设立非便秘的对照组,观察两组患者的焦虑抑郁状态和睡眠障碍的情况,并对CC患者根据结肠传输功能试验区分为慢传输型和正常传输型便秘调查抑郁、焦虑状态、睡眠障碍的情况。结果老年CC患者焦虑状态、抑郁状态和焦虑抑郁状态共存者分别为55例(52.387%)、61例(58.10%)和48例(45.71%),而对照组分别为9例(9.28%)、11例(11.34%)和9例(9.28%),两组之间差异显著(P0.05)。在CC患者中,正常传输型便秘焦虑状态(67.44%)及抑郁状态(83.72%)比例明显高于慢传输型(38.71.09%和51.62%),且焦虑与抑郁状态共存的比例(44.19%)也明显高于慢常传输型患者(20.97%)(P0.05)。睡眠障碍在老年CC的患病率为41.90%,慢传输型占43.55%,正常传输型中占39.53%,非便秘患者为7.22%,三组比较差异有统计学意义(P0.05)。结论老年CC患者中,焦虑状态、抑郁状态和睡眠障碍发病率高,结肠传输功能正常型便秘患者与抑郁或焦虑相关,慢传输型便秘患者睡眠障碍发病率高。
[Abstract]:Objective to study the relationship between anxiety, depression, sleep disorder and colonic transit function in elderly patients with chronic constipation CC.Methods 105 elderly patients with chronic constipation (CC) were enrolled in this study. At the same time, a non-constipation control group was set up to observe the anxiety, depression and sleep disorder of the two groups. According to the colon transit function test, the patients with CC were divided into slow transit constipation and normal transit constipation to investigate depression and anxiety. Results in the elderly patients with CC, there were 55 patients with anxiety, 52.3877patients with depression and 61 patients with 58.101.Results in the control group, there were 9 patients (9.28g / 11) and 9 patients with anxiety and depression (P 0.05), respectively. The difference between the two groups was significant (P 0.05). In CC patients, there were significant differences between the two groups (P < 0.05), while in the control group (n = 9), there were 9 cases (n = 11) and 9 cases (n = 9). The proportion of normal transit constipation anxiety (67.44) and depression (83.7222) was significantly higher than that of slow transit (38.71.09% and 51.62U), and the proportion of anxiety and depression coexisted (44.1919) was significantly higher than that of slow normal transit (20.97%). The prevalence of sleep disorder in elderly patients with CC was significantly higher. It was 41.90, slow transmission 43.55, normal transmission 39.53 and non-constipation 7.22.The difference among the three groups was significant (P 0.05). The incidence of anxiety, depression and sleep disorder was high, the patients with normal colonic transit function were associated with depression or anxiety, and the patients with slow transit constipation had high incidence of sleep disorder.
【作者单位】：浙江大学医学院附属第一医院消化科;
【基金】：浙江省中医药管理局(2013ZA092)
【分类号】：R574.62

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