本文選題：腸易激綜合征 + 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:探討腸易激綜合征(IBS)患者腸外軀體化癥狀與焦慮、抑郁狀態(tài)的相關(guān)性。方法:共91例IBS患者完成焦慮自評(píng)量表(SAS)、抑郁自評(píng)量表(SDS)、成人健康問(wèn)卷15-項(xiàng)軀體癥狀量表(成人自評(píng))、IBS病情尺度調(diào)查表(IBS-SSS),同時(shí)收集所有病例相應(yīng)臨床資料,統(tǒng)計(jì)并分析IBS患者消化道癥狀、軀體化癥狀與焦慮、抑郁的分布情況及相互關(guān)系。結(jié)果:IBS患者焦慮狀態(tài)患病率為52.7%(48/91),焦慮評(píng)分(50.01±12.45)分,抑郁狀態(tài)患病率為48.35(44/91),抑郁評(píng)分(52.37±13.31)分,軀體化癥狀評(píng)分(9.37±5.66)分,IBS消化道癥狀評(píng)分(206.96±88.97);等級(jí)相關(guān)分析結(jié)果顯示IBS患者消化道癥狀嚴(yán)重程度與焦慮狀態(tài)、抑郁狀態(tài)及軀體化癥狀嚴(yán)重程度呈正相關(guān)(相關(guān)系數(shù)分別0.392、0.355、0.479,且均P0.05);軀體化癥狀嚴(yán)重程度與焦慮狀態(tài)、抑郁狀態(tài)嚴(yán)重程度亦呈正相關(guān)(相關(guān)系數(shù)分別為0.549、0.483,且均P0.05),其中背痛、肌肉酸痛、感覺(jué)疲勞、睡眠問(wèn)題是影響焦慮的危險(xiǎn)因素(p0.05),消化不良、心慌是影響抑郁的危險(xiǎn)因素(P0.05)。結(jié)論:腸外軀體化癥狀、焦慮狀態(tài)與抑郁狀態(tài)在IBS患者中常見(jiàn),且腸外軀體化癥狀與焦慮狀態(tài)、抑郁狀態(tài)兩者存在相互促進(jìn)關(guān)系,因此臨床上應(yīng)采取緩解軀體化癥狀和改善焦慮、抑郁的心身同治策略。
[Abstract]:Objective: to investigate the correlation between the symptoms of parenteral somatization and anxiety and depression in patients with irritable bowel syndrome (IBS). Methods: a total of 91 patients with IBS were enrolled in this study. The scores of SAS, SDS, 15 items of somatic symptom scale (ADQ) and IBS-SSSs were collected, and the corresponding clinical data of all the patients were collected at the same time. The distribution of digestive tract symptoms, somatization symptoms and anxiety, depression in patients with IBS were analyzed. Results the prevalence rate of anxiety was 52.7 / 91g, anxiety score was 50.01 鹵12.45, depression rate was 48.35 / 44 / 91 and depression score was 52.37 鹵13.31, respectively. The score of somatization symptom was 9.37 鹵5.66) and the score of digestive tract symptom was 206.96 鹵88.97. The grade correlation analysis showed that the severity of digestive tract symptom and anxiety state of IBS patients. There was a positive correlation between the degree of depression and the severity of somatization (correlation coefficients were 0.3920.355or 0.479, respectively, all P 0.05), and there was a positive correlation between the severity of somatization and anxiety and the severity of depression (the correlation coefficients were 0.549n0.483and all P 0.05N, respectively). Muscle soreness, feeling tired, sleep problem are the risk factors of anxiety, indigestion and palpitation are the risk factors of depression. Conclusion: the symptoms of parenteral somatization, anxiety and depression are common in patients with IBS, and the relationship between the symptoms of parenteral somatization and anxiety, and the state of depression is mutually reinforcing. Therefore, we should adopt the psychosomatic strategy of relieving somatization symptoms and improving anxiety and depression.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R574.4

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