135例北京市门头沟区感染性腹泻与心因性腹泻临床分析  

Clinical Analysis of 135 Cases of Infectious Diarrhea and Psychogenic Diarrhea in Mentougou District of Beijing

作　　者：张井梅[1] 焦鸿云[1] 马志民[1] 赵宏燕 张桂静 ZHANG Jing-mei;JIAO Hong-yun;MA Zhi-min;ZHAO Hong-yan;ZHANG Gui-jing(Department of Infectious Diseases, Beijing Jingmei Group General Hospital, Beijing, 102300 China)

机构地区：[1]北京京煤集团总医院感染性疾病科

出　　处：《中外医疗》2019年第17期60-62,共3页China & Foreign Medical Treatment

摘　　要：目的探讨感染性腹泻与心因性腹泻患者的心理状态。方法方便选取2016年11月—2017年10月北京市门头沟区确诊为感染性腹泻和心因性腹泻的135例患者作为观察对象,其中感染性腹泻组75例,心因性腹泻组60例,同期50名健康受试者作为对照组,采用症状自评量表(SCL-90)、汉米尔顿焦虑量表(HAMA)探讨感染性腹泻与心因性腹泻患者的心理状态。结果感染性腹泻组、心因性腹泻组SCL-90躯体化、强迫、焦虑等维度分别为[(2.72±0.54)分、(2.15±0.51)分、(2.35±0.42)分;均高于对照组(2.94±0.58)分、(2.34±0.49)分、(2.84±0.15)分]差异有统计学意义(P<0.05),感染性腹泻组、心因性腹泻组SCL-90躯体化、强迫、焦虑等维度差异无统计学意义(P>0.05);感染性腹泻组、心因性腹泻组HAMA躯体性、精神性以及总分分别为[(2.21±0.45)分、(2.69±0.54)分、(16.22±2.45)分;高于对照组(2.32±0.37)分、(2.83±0.36)分、(18.31±1.52)分]差异有统计学意义(t=4.102、4.308、10.124,P<0.05),轻度感染性腹泻组、心因性腹泻组HAMA各维度差异无统计学意义(P>0.05)。结论感染性腹泻患者与心因性腹泻患者在心理状态等方面的评分均高于健康对照组,说明感染性腹泻存在一定程度的精神心理障碍。Objective To investigate the psychological status of patients with infectious diarrhea and psychogenic diarrhea. Methods From November 2016 to October 2017, 135 patients diagnosed with infectious diarrhea and psychogenic diarrhea in Mentougou District of Beijing were conveniently selected as observation subjects, including 75 patients with infectious diarrhea and 60 patients with cardiac diarrhea. 50 healthy subjects were used as a control group to investigate the psychological status of patients with infectious diarrhea and psychogenic diarrhea using the Symptom Checklist 90 (SCL-90) and the Hamilton Anxiety Scale (HAMA). Results The dimensions of somatization, forcing and anxiety of SCL-90 in the patients with infectious diarrhea and cardiac diarrhea were [(2.72±0.54)points,(2.15±0.51)points,(2.35±0.42)points,were higher than the control group,(2.94±0.58)points,(2.34±0.49)points and (2.84±0.15)points the difference was statistically significant(P<0.05), infective diarrhea group, cardiac diarrhea group SCL-90 somatization, there were no significant differences in the dimensions of forcing and anxiety (P>0.05). The somatic, mental and total scores of HAMA in the infectious diarrhea group and the cardiogenic diarrhea group were [(2.21±0.45) points,(2.69±0.54) points,(16.22±2.45)points;higher than the control group,(2.32±0.37) points,(2.83±0.36) points,(18.31±1.52) points the difference was statistically significant (t=4.102, 4.308, 10.124, P<0.05), there was no statistically significant difference in HAMA between mild infective diarrhea group and cardiogenic diarrhea group (P>0.05). Conclusion The scores of patients with infectious diarrhea and patients with psychogenic diarrhea are higher than those of healthy controls, indicating that there is a certain degree of mental and psychological disorders in infectious diarrhea.

关 键 词：感染性腹泻 心因性腹泻 症状自评量表 汉米尔顿焦虑量表 

分 类 号：R7[医药卫生—临床医学]