功能性消化不良和肠易激综合征症状重叠与焦虑的关系  

Relationship between Anxiety and Complicated Functional Dyspepsia and Irritable Bowel Syndrome

作　　者：周国华[1] 陈叶青[1] 周红宇[1] 王丽姣[1] 刘树旗[1] 冷明芳[1] 张晖[1] 王为[1] 

机构地区：[1]解放军169医院消化内科,湖南衡阳421002

出　　处：《华南国防医学杂志》2009年第2期6-8,共3页Military Medical Journal of South China

摘　　要：目的探讨功能性消化不良与肠易激综合征症状重叠的发生率及焦虑、抑郁障碍的关系。方法对60例FGIDs患者进行性别、年龄、FD症状、IBS症状、汉密尔顿焦虑量表、汉密尔顿抑郁量表问卷调查。结果①在性别上,女性多于男性;②在年龄段中,发病高峰以青年组、中年组常见;③重叠症状:FD组与IBS组中FD症状发生率差异有统计意义(P<0.05),IBS组与重叠组中FD症状发生率差异有统计意义(P<0.05),FD组与重叠组中FD症状发生率差异无统计意义(P>0.05),FD组与IBS组中IBS症状发生率差异有统计意义(P<0.05),IBS组与重叠组中IBS症状发生率差异无统计意义(P>0.05),FD组与重叠组中IBS症状发生率差异有统计意义(P<0.05);④焦虑、抑郁状态评分:FD组与IBS组中焦虑状态评分差异无统计意义(P>0.05),IBS组与重叠组中焦虑状态评分差异无统计意义(P>0.05),FD组与重叠组中焦虑状态评分差异有统计意义(P<0.01),FD组与IBS组中抑郁状态评分差异无统计意义(P>0.05),IBS组与重叠组中抑郁状态评分差异有统计意义(P<0.05),FD组与重叠组中抑郁状态评分差异有统计意义(P<0.01)。结论FD、IBS患者容易发生症状重叠,重叠症状越多,焦虑、抑郁状态越明显。Objective To investigate the incidence of functional gastrointestinal diseases（FGIDs）complicated with functional dyspepsia（FD）and irritable bowel syndrome（IBS）,and the relationship between FGIDs and anxiety and depression.Methods Genders,ages,FD symptoms,IBS symptoms,anxiety and depression disorders of 60 patients with FGIDs were analysed based on a questionnaire survey using Hamilton Anxiety Scale and Hamilton Depression Rating Scale.Results ① The incidence of FGIDs was higher in women than in men.②The incidence of FGID was high in young group and middle-aged group.③The incidences of FD symptoms were significantly different between FD and IBS groups,and between IBS and complicated groups（P〈0.05）;but there was no significantly difference between FD and complicated groups（P〉0.05）.The incidence of IBS symptoms were significant different between FD and IBS groups,and between FD and complicated groups（P〈0.05）;but there were no significant difference between IBS and complicated groups（P〉0.05）.④ There were no significant difference in anxiety scores among three groups（P〉0.05）and in depression scores between FD and IBS groups（P〉0.05）.Depression scores were significantly different between IBS and complicated groups,and between FD and complicated groups（P〉0.05）.Conclusion FD and IBS symptoms are easily complicated.The more symptoms are complicated,the more obvious anxiety and depression disorders are.

关 键 词：功能性消化不良 肠易激综合征 重叠 焦虑 

分 类 号：R573[医药卫生—消化系统]