我院肠易激综合征患者心理因素分析  

Psychological analysis of IBS patients

作　　者：黄怡[1] 吴建玲[2] 

机构地区：[1]广东医学院附属医院消化内科,广东湛江524023 [2]广东医学院心理学教研室,广东湛江524023

出　　处：《吉林医学》2011年第7期1338-1340,共3页Jilin Medical Journal

摘　　要：目的:对肠易激综合征(IBS)患者的心理因素进行临床分析,为采用综合治疗提供临床依据。方法:采用"90种临床症状自评量表(SCL-90)"对在本院消化内科诊断为IBS患者进行问卷调查,结合测查结果和临床症状,对患者的心理健康水平及性别差异等进行分析。结果:①IBS患者的SCL-90总分以及所有因子分均高于全国常模,阳性检出率为57.1%;②IBS患者的心理健康水平无性别差异;③焦虑、抑郁、人际关系敏感、强迫症状因子排前四位。结论:心理因素对IBS的发生发展有着重要的影响;常规治疗配合抗抑郁药+心理治疗对IBS有较好的临床效果;建议对SCL-90测评阳性精神心理症状严重患者同时采用综合心理治疗。Objective To investigate the psychological conditions in irritable bowel syndrome（IBS） patients.Method Total 56 patients with IBS were investigated by symptom check list-90（SCL-90） in the gastroenterology department in the hospital.Results ①The SCL-90 total scores and each item score of IBS were higher than those of the Chinese normal with significant differences（P0.01）.The positive rate of psychological problems reached 57.1%;②The psychological factors had no significant difference between male and female in IBS;③Anxiety,depression,interpersonal sensitivity and forced symptoms are the top 4 of the psychological factors in IBS patients.Conclusion IBS has a close relationship with psychological factors.Routine treatment combined antidepressant and psychotherapy can improve the patients′ clinical symptom.

关 键 词：肠易激综合症 心理因素 心理治疗 

分 类 号：R574[医药卫生—消化系统]