本文選題：功能性消化不良 + 軀體化癥狀　； 參考：《廣西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:探討功能性消化不良(FD)患者軀體化癥狀與精神障礙、睡眠質(zhì)量之間的相關(guān)性。方法:選擇符合羅馬III標準的FD患者83名,收集相關(guān)臨床資料,同時采用焦慮自評量表(SAS)、抑郁自評量表(SDS)、患者健康問卷軀體癥狀群量表(PHQ-15)、匹茲堡睡眠指數(shù)量表(PSQI)對患者的心理精神狀態(tài)、軀體化癥狀、睡眠質(zhì)量進行評價,分析FD患者的軀體化癥狀與焦慮抑郁狀態(tài)、睡眠質(zhì)量的關(guān)系。結(jié)果:FD患者的發(fā)病集中于中年女性(49±10.35)歲,患者焦慮、抑郁、睡眠障礙、軀體化癥狀的發(fā)生率分別為59%(49/83)、61.4%(51/83)、88%(73/83)、89.1%(74/83),焦慮、抑郁、睡眠障礙、軀體化癥狀的評分分別為52.430±11.529、53.980±11.903、10.480±82.923、10.890±5.365。伴軀體化癥狀患者的焦慮和抑郁評分顯著高于無軀體化癥狀患者(40.000±7.314 vs 53.946±11.048 P0.01;40.778±6.870vs 55.581±11.397 P0.01);軀體化癥狀中,胃痛、四肢關(guān)節(jié)痛、心慌、睡眠問題是影響焦慮狀態(tài)的顯著因素(標化系數(shù)分別為0.211、0.251、0.341、0.400,P0.05);疲勞和呼吸困難問題是影響抑郁狀態(tài)的顯著因素(標化系數(shù)分別為0.411、0.283,P0.05);睡眠問題是影響睡眠質(zhì)量的顯著因素(標化系數(shù)為0.340,P0.05)。結(jié)論:功能性消化不良患者有普遍存在的焦慮、抑郁、睡眠障礙、軀體化癥狀的全身癥狀表現(xiàn);伴軀體化癥狀的患者焦慮、抑郁水平高于無軀體化癥狀者;不同軀體化程度者中睡眠質(zhì)量存在差異;焦慮、抑郁、睡眠障礙和軀體化癥狀間存在相互關(guān)系,部分軀體化因子為焦慮、抑郁、睡眠障礙的影響因子。
[Abstract]:Objective: to investigate the correlation between somatization symptoms, mental disorders and sleep quality in patients with functional dyspepsia (FDD).Methods: 83 FD patients who met the Rome III criteria were selected and the relevant clinical data were collected.At the same time, self rating anxiety scale (SAS), self rating Depression scale (SDS), somatic symptom Group scale (PHQ-15) and Pittsburgh Sleep Index scale (PSQI) were used to evaluate the mental state, somatization symptoms and sleep quality of the patients.To analyze the relationship between somatization symptoms, anxiety and depression and sleep quality in FD patients.Results the incidence of anxiety, depression, sleep disorder and somatization in the middle aged female patients was 590.49 / 830.The incidence of anxiety, depression, sleep disorder and somatization were 59 / 49 / 83 / 61.4. The scores of anxiety, depression, sleep disorder and somatization symptoms were 52.430 鹵11.529 鹵53.980 鹵11.90310.480 鹵82.923310.890 鹵5.36590 鹵5.36590 鹵5.365. the scores of anxiety, depression, sleep disorder and somatization were 52.430 鹵11.529 鹵53.980 鹵11.90310.480 鹵82.923910.890 鹵5.365respectively.The scores of anxiety and depression in patients with somatization symptoms were significantly higher than those in patients without somatization symptoms (40. 000 鹵7.314 vs 53.946 鹵11.048 P 0. 01) and 40.778 鹵6.870vs 55.581 鹵11.397 P 0. 01. In somatization symptoms, stomachache, arthralgia of limbs and palpitations were found in patients with somatization.Sleep problems were significant factors affecting anxiety (standardized coefficients were 0.2111.251U 0.341U 0.341U 0.400g P0.05g, respectively; fatigue and dyspnea were significant factors affecting depression (standardized coefficients were 0.411g / 0.283 P0.05g, respectively; Sleep problems were significant factors affecting sleep quality).The standard coefficient is 0.340 (P0.05).Conclusion: patients with functional dyspepsia have general symptoms of anxiety, depression, sleep disorder and somatization, and the level of anxiety and depression in patients with somatization is higher than that in patients without somatization.There were differences in sleep quality among patients with different degrees of somatization, and there were interrelationships among anxiety, depression, sleep disorder and somatization symptoms, and some somatization factors were anxiety, depression and sleep disorder.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R57

【參考文獻】

相關(guān)期刊論文 前10條

1 明文;張紅;賀國斌;向軍英;李群華;劉倩;;功能性消化不良患者軀體化與抑郁關(guān)系的研究[J];臨床內(nèi)科雜志;2016年08期

2 鄧云龍;戴利莎;;軀體癥狀障礙的特點及綜合診療原則[J];醫(yī)學(xué)與哲學(xué)(B);2014年02期

3 吳s，

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