肠易激综合征患者肠外躯体化症状与焦虑、抑郁状态相关性分析

发布时间：2018-05-08 01:26

本文选题：肠易激综合征 + 躯体化症状　；参考：《广西医科大学》2017年硕士论文

【摘要】：目的:探讨肠易激综合征(IBS)患者肠外躯体化症状与焦虑、抑郁状态的相关性。方法:共91例IBS患者完成焦虑自评量表(SAS)、抑郁自评量表(SDS)、成人健康问卷15-项躯体症状量表(成人自评)、IBS病情尺度调查表(IBS-SSS),同时收集所有病例相应临床资料,统计并分析IBS患者消化道症状、躯体化症状与焦虑、抑郁的分布情况及相互关系。结果:IBS患者焦虑状态患病率为52.7%(48/91),焦虑评分(50.01±12.45)分,抑郁状态患病率为48.35(44/91),抑郁评分(52.37±13.31)分,躯体化症状评分(9.37±5.66)分,IBS消化道症状评分(206.96±88.97);等级相关分析结果显示IBS患者消化道症状严重程度与焦虑状态、抑郁状态及躯体化症状严重程度呈正相关(相关系数分别0.392、0.355、0.479,且均P0.05);躯体化症状严重程度与焦虑状态、抑郁状态严重程度亦呈正相关(相关系数分别为0.549、0.483,且均P0.05),其中背痛、肌肉酸痛、感觉疲劳、睡眠问题是影响焦虑的危险因素(p0.05),消化不良、心慌是影响抑郁的危险因素(P0.05)。结论:肠外躯体化症状、焦虑状态与抑郁状态在IBS患者中常见,且肠外躯体化症状与焦虑状态、抑郁状态两者存在相互促进关系,因此临床上应采取缓解躯体化症状和改善焦虑、抑郁的心身同治策略。
[Abstract]:Objective: to investigate the correlation between the symptoms of parenteral somatization and anxiety and depression in patients with irritable bowel syndrome (IBS). Methods: a total of 91 patients with IBS were enrolled in this study. The scores of SAS, SDS, 15 items of somatic symptom scale (ADQ) and IBS-SSSs were collected, and the corresponding clinical data of all the patients were collected at the same time. The distribution of digestive tract symptoms, somatization symptoms and anxiety, depression in patients with IBS were analyzed. Results the prevalence rate of anxiety was 52.7 / 91g, anxiety score was 50.01 卤12.45, depression rate was 48.35 / 44 / 91 and depression score was 52.37 卤13.31, respectively. The score of somatization symptom was 9.37 卤5.66) and the score of digestive tract symptom was 206.96 卤88.97. The grade correlation analysis showed that the severity of digestive tract symptom and anxiety state of IBS patients. There was a positive correlation between the degree of depression and the severity of somatization (correlation coefficients were 0.3920.355or 0.479, respectively, all P 0.05), and there was a positive correlation between the severity of somatization and anxiety and the severity of depression (the correlation coefficients were 0.549n0.483and all P 0.05N, respectively). Muscle soreness, feeling tired, sleep problem are the risk factors of anxiety, indigestion and palpitation are the risk factors of depression. Conclusion: the symptoms of parenteral somatization, anxiety and depression are common in patients with IBS, and the relationship between the symptoms of parenteral somatization and anxiety, and the state of depression is mutually reinforcing. Therefore, we should adopt the psychosomatic strategy of relieving somatization symptoms and improving anxiety and depression.
【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】：R574.4

【参考文献】