乌鲁木齐市携证型溃疡性结肠炎患者生存质量与心理状态的现状调查
本文选题:溃疡性结肠炎 + 西北燥证 ; 参考:《新疆医科大学》2017年硕士论文
【摘要】:目的:通过观察乌鲁木齐市多中心携证型(西北燥证)UC患者生存质量及心理表现,探讨新疆地域性UC患者的生存质量、心理状况、肠病轻重程度的分布及其与西北燥证主证及兼证的内在关系。方法:收集2016年1月~2016年12月在新疆维吾尔自治区中医医院、新疆乌鲁木齐市中医院、新疆医科大学第一附属医院、新疆维吾尔自治区人民医院消化科住院及门诊UC患者100例进行研究。采用西北燥证计量诊断与主兼证辨证量表进行西北燥证诊断及兼证辩证分型;用炎症性肠病问卷中文版评估其生存质量;用焦虑自评量表,抑郁自评量表评估其心理状态,分析西北燥证罹患与否与UC患者生存质量、心理状态及肠病轻重程度的相关性。结果:(1)100例UC患者中携证型(西北燥证)28例,非携证型72例,携证型与非携证型组间性别构成有差异(P0.05);(2)64.28%的携证型UC的西北燥证兼证为脾胃蕴湿证;(3)UC患者生存质量总分为130.68±35.362,轻、中、重度肠病患者的生存质量和焦虑抑郁程度存在差异(P0.05);(4)UC患者焦虑抑郁程度与肠病轻重程度呈正相关(P0.001);(5)携证型UC患者的生存质量较非携证型UC患者生存质量差(P0.05)、焦虑及抑郁程度重(P0.05)。结论:(1)UC患者的生存质量与肠病程度及焦虑抑郁程度相关;(2)携证型UC的兼证以脾胃蕴湿证为主;相较于非携证型UC患者,携证型UC患者其生存质量降低、焦虑抑郁状态加重,且以男性患者居多;(3)西北燥证作为方域性疾病的共同病理本质,与UC病证相关,故可从西北燥证证治策略出发防治新疆地区的UC。
[Abstract]:Objective: to investigate the quality of life and psychological status of Xinjiang regional UC patients by observing the quality of life and psychological manifestation of multi-center syndrome carrying type (northwest dryness syndrome of UC) in Urumqi. The distribution of the severity of intestinal disease and its internal relationship with the main and concurrent syndromes of northwest dryness syndrome. Methods: collected from January 2016 to December 2016 in the Xinjiang Uygur Autonomous region Hospital of traditional Chinese Medicine, Xinjiang Urumqi City Hospital of Chinese Medicine, Xinjiang Medical University, the first affiliated hospital, A study of 100 UC patients in the Department of Digestive Diseases of Xinjiang Uygur Autonomous region people's Hospital was carried out. The quantitative diagnosis of northwest dryness syndrome and the syndrome differentiation scale were used to diagnose and classify the syndrome of northwest dryness, the quality of life was evaluated by the Chinese version of inflammatory bowel disease questionnaire, and the psychological status was assessed by self-rating anxiety scale and self-rating depression scale. To analyze the relationship between northwest dryness syndrome and UC patients' quality of life, psychological status and severity of intestinal disease. Results among 100 cases of UC, there were 28 cases of northwest dryness syndrome and 72 cases of non-carrying syndrome. There was a difference in sex composition between the group of carrying syndrome and that of non-carrying type. There was a difference in sex composition between the two groups. The total score of quality of life of the patients with the northwestern dryness syndrome and the syndrome of spleen and stomach dampness was 130.68 卤35.362, which was mild, moderate, and the difference was significant between the two groups (P < 0.05). There was a positive correlation between the degree of anxiety and depression in patients with severe bowel disease and the degree of anxiety and depression. Conclusion the quality of life (QOL) is related to the degree of bowel disease and anxiety and depression in the patients with UC) the main syndromes of UC are spleen and stomach dampness syndrome, compared with those of the patients without UC, the quality of life of UC patients with syndrome is lower, and the anxiety and depression state is more serious. As the common pathological essence of regional diseases, it is related to UC disease. Therefore, the strategy of treating northwest dryness syndrome can be used to prevent and cure UCs in Xinjiang.
【学位授予单位】:新疆医科大学
【学位级别】:硕士
【学位授予年份】:2017
【分类号】:R259
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