本文選題：慢性便秘　切入點(diǎn)：抑郁　出處：《中國老年學(xué)雜志》2016年08期 　論文類型：期刊論文

【摘要】：目的研究老年住院慢性便秘(CC)患者的焦慮狀態(tài)、抑郁狀態(tài)和睡眠障礙的情況及其與結(jié)腸傳輸功能之間的關(guān)系。方法調(diào)查105例老年CC的長期住院患者,并同時設(shè)立非便秘的對照組,觀察兩組患者的焦慮抑郁狀態(tài)和睡眠障礙的情況,并對CC患者根據(jù)結(jié)腸傳輸功能試驗(yàn)區(qū)分為慢傳輸型和正常傳輸型便秘調(diào)查抑郁、焦慮狀態(tài)、睡眠障礙的情況。結(jié)果老年CC患者焦慮狀態(tài)、抑郁狀態(tài)和焦慮抑郁狀態(tài)共存者分別為55例(52.387%)、61例(58.10%)和48例(45.71%),而對照組分別為9例(9.28%)、11例(11.34%)和9例(9.28%),兩組之間差異顯著(P0.05)。在CC患者中,正常傳輸型便秘焦慮狀態(tài)(67.44%)及抑郁狀態(tài)(83.72%)比例明顯高于慢傳輸型(38.71.09%和51.62%),且焦慮與抑郁狀態(tài)共存的比例(44.19%)也明顯高于慢常傳輸型患者(20.97%)(P0.05)。睡眠障礙在老年CC的患病率為41.90%,慢傳輸型占43.55%,正常傳輸型中占39.53%,非便秘患者為7.22%,三組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論老年CC患者中,焦慮狀態(tài)、抑郁狀態(tài)和睡眠障礙發(fā)病率高,結(jié)腸傳輸功能正常型便秘患者與抑郁或焦慮相關(guān),慢傳輸型便秘患者睡眠障礙發(fā)病率高。
[Abstract]:Objective to study the relationship between anxiety, depression, sleep disorder and colonic transit function in elderly patients with chronic constipation CC.Methods 105 elderly patients with chronic constipation (CC) were enrolled in this study. At the same time, a non-constipation control group was set up to observe the anxiety, depression and sleep disorder of the two groups. According to the colon transit function test, the patients with CC were divided into slow transit constipation and normal transit constipation to investigate depression and anxiety. Results in the elderly patients with CC, there were 55 patients with anxiety, 52.3877patients with depression and 61 patients with 58.101.Results in the control group, there were 9 patients (9.28g / 11) and 9 patients with anxiety and depression (P 0.05), respectively. The difference between the two groups was significant (P 0.05). In CC patients, there were significant differences between the two groups (P < 0.05), while in the control group (n = 9), there were 9 cases (n = 11) and 9 cases (n = 9). The proportion of normal transit constipation anxiety (67.44) and depression (83.7222) was significantly higher than that of slow transit (38.71.09% and 51.62U), and the proportion of anxiety and depression coexisted (44.1919) was significantly higher than that of slow normal transit (20.97%). The prevalence of sleep disorder in elderly patients with CC was significantly higher. It was 41.90, slow transmission 43.55, normal transmission 39.53 and non-constipation 7.22.The difference among the three groups was significant (P 0.05). The incidence of anxiety, depression and sleep disorder was high, the patients with normal colonic transit function were associated with depression or anxiety, and the patients with slow transit constipation had high incidence of sleep disorder.
【作者單位】： 浙江大學(xué)醫(yī)學(xué)院附屬第一醫(yī)院消化科;
【基金】：浙江省中醫(yī)藥管理局(2013ZA092)
【分類號】：R574.62

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