本文選題：咽異感癥 + 焦慮　； 參考：《臨床耳鼻咽喉頭頸外科雜志》2017年06期

【摘要】：目的:分析伴不同程度焦慮癥狀的咽異感癥患者的臨床資料,了解疾病的基本臨床特征及療效,并初步分析焦慮狀態(tài)的可能原因。方法:采用焦慮自評量表(SAS)將患者分為輕度、中度和重度焦慮3組,對比分析各組的一般情況、發(fā)病相關(guān)因素和療效預(yù)后。采用狀態(tài)-特質(zhì)焦慮問卷(STAI)對患者進行焦慮狀態(tài)分析,并和健康對照組比較。以SPSS13.0軟件對數(shù)據(jù)進行統(tǒng)計學分析。結(jié)果:①女性(54.05%)伴焦慮癥狀的比例高于男性(45.95%),且女性伴發(fā)中度焦慮的比例高,而男性伴發(fā)輕度焦慮的比例高。伴發(fā)重度焦慮的比例男女之間差異無統(tǒng)計學意義(P0.05)。②40~59歲年齡段伴發(fā)焦慮的比例最高(60.14%),且伴中度和重度焦慮的比例高于18~39歲和≥60歲年齡段(P0.05);后2個年齡段之間比較,不同程度焦慮的患者比例差異無統(tǒng)計學意義(P0.05)。③伴輕度和中度焦慮的患者比例分別在病程5~10年和5年以下最高;3個病程段均有一定比例的患者伴發(fā)重度焦慮,但差異無統(tǒng)計學意義(P0.05)。④無固定職業(yè)和高中以下學歷的患者伴發(fā)中度焦慮的比例高于有固定職業(yè)和高中及以上學歷的患者(P0.05),而伴發(fā)輕度和重度焦慮的患者比例與職業(yè)和受教育程度無關(guān)(P0.05);焦慮程度與婚姻狀況無關(guān),無城鄉(xiāng)差別(P0.05)。⑤不同程度焦慮的患者中有恐癌癥的比例均最高,其次為緊張壓力大和精神刺激因素。有恐癌癥和自覺緊張壓力大的患者比例在重度焦慮組均高于中度和輕度焦慮組(P0.01);精神刺激因素在各組間兩兩比較,差異無統(tǒng)計學意義(P0.05);異物強迫思維癥和精神病家族史在各組中的比例均較低,組間差異無統(tǒng)計學意義(P0.05)。⑥伴不同程度焦慮的男性和女性患者分別與健康對照組男性和女性比較,狀態(tài)焦慮(S-AI)得分均差異有統(tǒng)計學意義(P0.05),而特質(zhì)焦慮(T-AI)得分均差異無統(tǒng)計學意義(P0.05)。⑦輕、中度焦慮組治愈率(P0.05)和總有效率(P0.01)均高于重度焦慮組,輕度焦慮和中度焦慮組治愈率和總有效率分別比較,差異無統(tǒng)計學意義(P0.05)。結(jié)論:伴不同程度焦慮癥狀的咽異感癥患者具有各自不同的臨床特征和預(yù)后,疾病長期得不到改善是導(dǎo)致精神焦慮的主要原因,患者呈現(xiàn)狀態(tài)焦慮,與常人相比無明顯焦慮潛質(zhì)。
[Abstract]:Objective: to analyze the clinical data of patients with different anxiety symptoms, to understand the basic clinical characteristics and curative effects of the disease, and to analyze the possible causes of anxiety. Methods: the patients were divided into mild, moderate and severe anxiety groups by self-rating anxiety scale (SAS). State-trait anxiety questionnaire (STAI) was used to analyze the anxiety state of the patients and compared with the healthy control group. The data were analyzed by SPSS13.0 software. Results the proportion of female with anxiety symptom was higher than that of male (45.95%), and the proportion of female with moderate anxiety was higher than that of male with mild anxiety. There was no significant difference in the proportion of severe anxiety between men and women. There was no significant difference between men and women. The proportion of anxiety associated with severe anxiety was 60.145.The proportion of moderate and severe anxiety was higher than that of 180-39 years and 鈮，

本文編號：1786441