潜艇艇员慢性便秘的心理因素研究  

Research on the effect of psychological factors affecting chronic constipation in submariners

作　　者：林坚[1] 熊波[1] 王舒莉[1] 

机构地区：[1]南京军区杭州疗养院海勤疗养区,杭州310002

出　　处：《中华航海医学与高气压医学杂志》2010年第6期352-354,共3页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

摘　　要：目的 通过对潜艇艇员中便秘患者进行心理测试来研究功能性便秘与心理因素之间的关系,以期为便秘的诊断和治疗提供依据.方法 对26名符合罗马Ⅲ标准的功能性便秘患者（实验组）和30名健康者（对照组）进行对照研究,采用生活事件量表、症状自评量表进行心理测试,分析心理状况.结果 在生活事件量表评定中,在负性生活事件得分上,实验组高于对照组;在症状自评量表评定中,总分、总均分、阳性项目数,实验组均明显高于对照组;另外,躯体化、强迫、抑郁、焦虑等因子分实验组也都高于对照组.结论 精神心理因素在便秘的发病中起了一定作用,因此在对潜艇艇员便秘进行药物治疗的同时,进行心理测试和心理治疗是必要的.Objective To investigate the relationship between functional constipation and psychological factors through psychological tests of the submariners with chronic constipation and to provide basis for the diagnosis and treatment of functional constipation. Methods Twenty - six patients with functional constipation conforming to Rome Ⅲ diagnostic criteria and 30 asymptomatic healthy controls were studied. Life event scale and symptom checklist were used for psychological tests and psychological status was also analyzed. Results In the assessment of life - event scale, the rate of psychological abnormalities for the functional constipation group was higher than that for the control group. In the symptom self - assessment, total score, total average score, number of positive items of the experimental group were significantly higher than those of the control group. In addition, somatization, compulsion, depression, anxiety and other factors of the experimental group were also higher than the control. Conclusions Psychological factors played a certain role in the development of constipation. For this reason, when drug treatment was made, it was necessary to give psychological tests and psychological treatment to the submariners with constipation.

关 键 词：潜艇艇员 功能性便秘 心理因素 心理测试 

分 类 号：R686[医药卫生—骨科学]