功能性消化不良与精神心理因素的临床分析  

Clinical Analysis of Functional Dyspepsia and Psychologic Factor

作　　者：张维[1,2] 张琍[1] 刘卓然[1] 

机构地区：[1]南华大学附属第二医院消化科,湖南衡阳421001 [2]南方医科大学附属小榄医院消化科

出　　处：《中南医学科学杂志》2015年第5期566-569,共4页Medical Science Journal of Central South China

基　　金：湖南省卫生厅项目资助(B2010-053);湖南省研究生科研创新项目资助(2011B383)

摘　　要：目的对功能性消化不良(FD)患者进行焦虑、抑郁评估,探讨FD和精神心理因素的关系,为临床治疗FD提供新的依据。方法选取符合RomeⅢ诊断标准的FD患者80例,其中餐后不适综合征(PDS)45例,上腹痛综合征(EPS)35例,另选取健康对照组45例作为比较对象,采用焦虑/抑郁自评量表(SAS/SDS)及消化不良症状积分量表评估FD患者的焦虑、抑郁及消化不良状况。结果 FD组、PDS组、EPS组SAS、SDS评分较对照组均明显增高(P<0.05);而PDS组与EPS组的SAS、SDS评分比较差异无统计学意义(P>0.05);FD患者的消化不良症状积分与SAS、SDS评分均呈正相关(P<0.05)。结论精神心理因素对FD的发病起促进作用;焦虑、抑郁评分越高,FD患者消化不良主观症状越严重。Objective To evaluate the psychological factors in patients with functional dyspepsia,and explore the relationship between FD and the psychological factors,then further to provide a new theoretical basis for clinical treatment of FD. Methods Eighty patients diagnosed as FD were enrolled including 45 patients with postprandial distress syndrome（ PDS）,35 patients with epigastric pain syndrome（ EPS）. Meanwhile,45 healthy persons were regarded as control group.We use Self-Rating Anxiety Scale（ SAS） and Self-Rating Depression Scale（ SDS） and Dyspeptic symptoms scale to evaluate the condition of anxiety,depression and dyspeptic symptoms in FD. Results In group FD,PDS and EPS,the SAS score,the SDS score were significantly higher than control group（ P 0. 05）. But no significant difference was found between the group PDS and group EPS（ P 0. 05）. The Dyspeptic symptoms Scale had significant positive correlations with the SAS score,the SDS score（ P 0. 05）. Conclusions Anxiety and depression may play a promotional role in the development of FD. The higher the SAS and SDS were,the more serious the dyspeptic symptoms in FD patients.

关 键 词：功能性消化不良 焦虑自评量表 抑郁自评量表 焦虑 抑郁 消化不良症状积分 

分 类 号：R57[医药卫生—消化系统]