鼻部症状对变应性鼻炎患者精神心理的影响  

Effects of nasal symptoms on the psychological statuses of adults with moderate-to-severe persistent allergic rhinitis

作　　者：吕晓飞[1] 锡琳[2] 张罗[2] 韩德民[2] 

机构地区：[1]首都医科大学附属北京友谊医院耳鼻咽喉头颈外科,北京100050 [2]耳鼻咽喉科重点实验室(教育部)北京市耳鼻咽喉科研究所

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第3期219-222,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然科学基金杰出青年科学基金(No:81025007);重点国际合作研究项目(No:81420108009);国家自然科学青年基金项目(No:81000405);北京市自然基金(No:7102030);北京市教委科技计划重点项目(No:KZ200910025008;20110025027)

摘　　要：目的:探讨成人中重度持续性变应性鼻炎(AR)患者在鼻炎发作期的精神心理状态,以及鼻部症状对其精神心理状态的影响。方法:采用症状自评量表(symptom checklist 90,SCL-90)对539例中重度持续性AR患者的精神心理状况进行分析,SCL-90的各因子得分与中国成人正常值即全国常模比较,并统计分析鼻部症状对成人患者的精神心理状态的影响。结果:中重度持续性AR患者的SCL-90得分在躯体化、抑郁、焦虑和敌对4个症状的因子分都明显高于全国常模。男女患者和各年龄组之间各因子分无显著性差异。病程越长躯体化和强迫症状越明显。鼻塞对于躯体化、强迫、人际关系敏感、抑郁、精神病性5个症状具有显著影响;鼻痒对躯体化、抑郁、焦虑3个症状具有显著影响。结论:在鼻炎发作期,中重度持续性AR成人患者的精神心理状态明显比正常中国成人差。鼻塞、鼻痒等鼻部症状明显影响成人中重度持续性AR患者的精神心理状态。临床医生对患者精神心理问题的重视和妥善处理、适当干预将是AR治疗的新趋势。Objective：To investigate the psychological statuses of Chinese adults with moderate-to-severe per- sistent allergic rhinitis, and evaluate the effects of nasal symptoms on their psychological statuseses. Method：The Symptom Checklist-90 （SCL-90） or self-reporting Inventory was employed to analyze the psychological statuses of 539 adults with moderate-to-severe persistent allergic rhinitis. Result：The SCL-90 scores of the adults with moder- ate-to-severe persistent allergic rhinitis were statistically higher than those of non-allergic adults in terms of soma- tization, depression, anxiety and hostility. No statistical discrepancies existed in gender or age. The course of dis- ease contributed to somatization and compulsion. The effects of nasal symptoms included two aspects： nasal ob- struction had a conspicuous impact on somatization, compulsion, interpersonal sensitivity, depression, anxiety and psychosis, while nasal itching contributed to somatization, depression and anxiety. Conclusion：The psychological statuses of adults with moderate-to-severe persistent allergic rhinitis is evidently worse than that of non-allergic a- dults. Symptoms such as nasal obstruction and itching had an obvious impact on outpatients psychological statuses.

关 键 词：鼻炎 变应性 鼻部症状 精神心理 成人 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]