功能性消化不良的躯体化症状与精神障碍、睡眠障碍之间的相关性研究

发布时间：2018-04-15 03:17

本文选题：功能性消化不良 + 躯体化症状　；参考：《广西医科大学》2017年硕士论文

【摘要】：目的:探讨功能性消化不良(FD)患者躯体化症状与精神障碍、睡眠质量之间的相关性。方法:选择符合罗马III标准的FD患者83名,收集相关临床资料,同时采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、患者健康问卷躯体症状群量表(PHQ-15)、匹兹堡睡眠指数量表(PSQI)对患者的心理精神状态、躯体化症状、睡眠质量进行评价,分析FD患者的躯体化症状与焦虑抑郁状态、睡眠质量的关系。结果:FD患者的发病集中于中年女性(49±10.35)岁,患者焦虑、抑郁、睡眠障碍、躯体化症状的发生率分别为59%(49/83)、61.4%(51/83)、88%(73/83)、89.1%(74/83),焦虑、抑郁、睡眠障碍、躯体化症状的评分分别为52.430±11.529、53.980±11.903、10.480±82.923、10.890±5.365。伴躯体化症状患者的焦虑和抑郁评分显著高于无躯体化症状患者(40.000±7.314 vs 53.946±11.048 P0.01;40.778±6.870vs 55.581±11.397 P0.01);躯体化症状中,胃痛、四肢关节痛、心慌、睡眠问题是影响焦虑状态的显著因素(标化系数分别为0.211、0.251、0.341、0.400,P0.05);疲劳和呼吸困难问题是影响抑郁状态的显著因素(标化系数分别为0.411、0.283,P0.05);睡眠问题是影响睡眠质量的显著因素(标化系数为0.340,P0.05)。结论:功能性消化不良患者有普遍存在的焦虑、抑郁、睡眠障碍、躯体化症状的全身症状表现;伴躯体化症状的患者焦虑、抑郁水平高于无躯体化症状者;不同躯体化程度者中睡眠质量存在差异;焦虑、抑郁、睡眠障碍和躯体化症状间存在相互关系,部分躯体化因子为焦虑、抑郁、睡眠障碍的影响因子。
[Abstract]:Objective: to investigate the correlation between somatization symptoms, mental disorders and sleep quality in patients with functional dyspepsia (FDD).Methods: 83 FD patients who met the Rome III criteria were selected and the relevant clinical data were collected.At the same time, self rating anxiety scale (SAS), self rating Depression scale (SDS), somatic symptom Group scale (PHQ-15) and Pittsburgh Sleep Index scale (PSQI) were used to evaluate the mental state, somatization symptoms and sleep quality of the patients.To analyze the relationship between somatization symptoms, anxiety and depression and sleep quality in FD patients.Results the incidence of anxiety, depression, sleep disorder and somatization in the middle aged female patients was 590.49 / 830.The incidence of anxiety, depression, sleep disorder and somatization were 59 / 49 / 83 / 61.4. The scores of anxiety, depression, sleep disorder and somatization symptoms were 52.430 卤11.529 卤53.980 卤11.90310.480 卤82.923310.890 卤5.36590 卤5.36590 卤5.365. the scores of anxiety, depression, sleep disorder and somatization were 52.430 卤11.529 卤53.980 卤11.90310.480 卤82.923910.890 卤5.365respectively.The scores of anxiety and depression in patients with somatization symptoms were significantly higher than those in patients without somatization symptoms (40. 000 卤7.314 vs 53.946 卤11.048 P 0. 01) and 40.778 卤6.870vs 55.581 卤11.397 P 0. 01. In somatization symptoms, stomachache, arthralgia of limbs and palpitations were found in patients with somatization.Sleep problems were significant factors affecting anxiety (standardized coefficients were 0.2111.251U 0.341U 0.341U 0.400g P0.05g, respectively; fatigue and dyspnea were significant factors affecting depression (standardized coefficients were 0.411g / 0.283 P0.05g, respectively; Sleep problems were significant factors affecting sleep quality).The standard coefficient is 0.340 (P0.05).Conclusion: patients with functional dyspepsia have general symptoms of anxiety, depression, sleep disorder and somatization, and the level of anxiety and depression in patients with somatization is higher than that in patients without somatization.There were differences in sleep quality among patients with different degrees of somatization, and there were interrelationships among anxiety, depression, sleep disorder and somatization symptoms, and some somatization factors were anxiety, depression and sleep disorder.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R57

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