SAS、SDS、SCL-90评定情况与胃镜检查耐受性的关系  

Relationship between SAS,SDS,SCL-90 and gastroscopy tolerance

作　　者：陈文莹 胡继军 凃星 CHEN Wen-ying;HU Ji-jun;TU Xing(Department of Blood Transfusion,Wuhan Third Hospital,Wuhan Hubei 430060,China)

机构地区：[1]武汉市第三医院输血科,湖北武汉430060

出　　处：《临床和实验医学杂志》2020年第18期1959-1962,共4页Journal of Clinical and Experimental Medicine

基　　金：湖北省自然科学基金资助项目(编号:2017CFB689)。

摘　　要：目的探究不同胃镜检查结果者的焦虑自评量表(SAS)、抑郁自评量表(SDS)、症状自评量表(SCL-90)评定情况及与胃镜检查耐受性的关系。方法前瞻性选取2016年5月至2019年5月在武汉市第三医院行胃镜检查并确诊结果为胃癌的患者72例作为胃癌组,胃溃疡患者78例作为胃溃疡组;同期行胃镜检查排除胃部病变的健康者75例作为对照组。均于胃镜检查前行SAS、SDS、SCL-90评定,分析SAS、SDS、SCL-90与不同胃镜检查结果者的关系。结果胃癌组SAS、SDS、SCL-90评分分别为(67.52±9.26)分、(68.52±9.43)分、(2.05±0.65)分,高于胃溃疡组的(56.47±8.39)分、(58.23±8.67)分、(1.70±0.48)分,而胃溃疡组SAS、SDS、SCL-90评分又高于对照组的(39.62±6.48)分、(42.63±7.05)分、(1.38±0.36)分,差异具有统计学意义(P<0.05)。Pearson相关性分析显示,SAS、SDS与SCL-90评分呈正相关(r=0.159、0.150,P=0.017、0.025,P<0.05);SAS与SDS亦呈正相关(r=0.994,P<0.05)。胃癌组焦虑阳性率(48.61%)、抑郁阳性率(34.72%)高于胃溃疡组焦虑阳性率(25.64%)、抑郁阳性率(15.38%),而胃溃疡组焦虑、抑郁阳性率又高于对照组焦虑阳性率(4.00%)、抑郁阳性率(1.33%),差异具有统计学意义(P<0.05)。SAS、SDS阳性的胃癌组、胃溃疡组患者胃镜检查的中度不适感、中度反应占比较高,差异具有统计学意义(P<0.05)。SCL-90阳性的胃癌组、胃溃疡组患者胃镜检查耐受程度较差,差异具有统计学意义(P<0.05)。结论心理状态在胃癌、胃溃疡的发病中起重要作用,焦虑、抑郁及心理状况不良的胃癌、胃溃疡患者对胃镜检查的不适感较明显、耐受性较差;临床诊治可针对心理状态加强干预。Objective To investigate the assessment of anxiety self-rating scale(SAS),self-rating depression scale(SDS),and symptom checklist 90(SCL-90)in patients with different gastroscopy results and the relationship with the tolerance of gastroscopy.Methods From May 2016 to May 2019,seventy-two patients with gastric cancer who underwent gastroscopy from Wuhan Third Hospital were diagnosed with gastric cancer were prospectively selected as the gastric cancer group,seventy-eight patients with gastric ulcer were treated as gastric ulcer group,seventy-five healthy patients who underwent gastroscopy to exclude gastric lesions at the same time served as a control group.SAS,SDS,and SCL-90 were evaluated before gastroscopy,and the relationship between SAS,SDS,SCL-90 and different gastroscopy results was analyzed.Results The SAS,SDS,and SCL-90 scores in the gastric cancer group were(67.52±9.26),(68.52±9.43),and(2.05±0.65)points,respectively,which were higher than those of the gastric ulcer group(56.47±8.39)and(58.23±8.67)The scores of SAS,SDS and SCL-90 in the gastric ulcer group were higher than those of the control group(39.62±6.48),(42.63±7.05),(1.38±0.36),the difference was It is statistically significant(P<0.05).Pearson correlation analysis showed that SAS,SDS and SCL-90 scores were positively correlated(r=0.159,0.150,P=0.017,0.025,P<0.05);SAS and SDS were also positively correlated(r=0.994,P<0.05).The positive rate of anxiety(48.61%)and the positive rate of depression(34.72%)in the gastric cancer group were higher than those in the gastric ulcer group(25.64%)and the positive rate of depression(15.38%),while the positive rates of anxiety and depression in the gastric ulcer group were higher The positive rate of anxiety(4.00%)and the positive rate of depression(1.33%)in the control group were statistically significant(P<0.05).The patients with SAS and SDS positive gastric cancer group and gastric ulcer group had a higher proportion of moderate discomfort and moderate reaction in gastroscopy,and the difference was stat

关 键 词：胃镜检查 耐受性 焦虑自评量表 抑郁自评量表 症状自评量表 

分 类 号：R735.2[医药卫生—肿瘤] R573[医药卫生—临床医学]