【摘要】：目的探討功能性消化不良(FD)和神經(jīng)精神心理因素共病的影響因素。方法選取2012年3月至2015年9月廣東省化州市人民醫(yī)院收治的FD患者132例,根據(jù)焦慮、抑郁患病情況分為FD組和共病組。比較兩組患者的漢密爾頓抑郁量表(HAMA)評(píng)分、漢密爾頓焦慮量表(HAMD)評(píng)分,對(duì)兩組患者的臨床資料進(jìn)行分析。結(jié)果 FD組患者的HAMA、HAMD評(píng)分分別為(12.54±5.69)分、(13.11±5.27)分;共病組患者的HAMA、HAMD評(píng)分分別為(19.83±3.25)分、(20.05±4.13)分,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組患者的年齡、性別、病程、BMI、婚姻狀況、遺傳史、負(fù)性生活事件、生活質(zhì)量評(píng)分及合并其他功能性胃腸病比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。對(duì)單因素分析中有統(tǒng)計(jì)學(xué)意義的指標(biāo)進(jìn)行多因素Logistic回歸分析,結(jié)果顯示年齡、婚姻狀況、負(fù)性生活事件、生活質(zhì)量評(píng)分及合并其他功能性胃腸病是影響FD和焦慮、抑郁共病的獨(dú)立危險(xiǎn)因素。結(jié)論 FD與神經(jīng)精神心理障礙的共病率較高,其中患者年齡、婚姻狀況、負(fù)性生活事件、生活質(zhì)量評(píng)分及合并其他功能性胃腸病是影響FD和焦慮、抑郁共病的獨(dú)立危險(xiǎn)因素。
[Abstract]:Objective to explore the influencing factors of common diseases of functional dyspepsia (FD) and neuropsycho psychological factors. Methods 132 patients with FD were selected from March 2012 to September 2015 in Huazhou people's Hospital of Guangdong province. According to anxiety and depression, the patients were divided into FD group and co disease group. The scores of Hamilton Depression Scale (HAMA) and hamilt were compared in the two groups. The HAMD score was used to analyze the clinical data of two groups of patients. Results the HAMA, HAMD scores in group FD were (12.54 + 5.69) and (13.11 + 5.27), and the HAMA of the patients in the common disease group were (19.83 + 3.25) and (20.05 + 4.13), respectively, and the difference was statistically significant (P0.05). The age, sex, course of disease, BMI of the two groups of patients. The differences in marital status, genetic history, negative life events, quality of life score and other functional gastrointestinal diseases were statistically significant (P0.05). Multiple factor Logistic regression analysis of statistical indicators in single factor analysis showed that age, marital status, negative life events, quality of life score and the combination of them His functional gastrointestinal disease is an independent risk factor affecting FD and anxiety and depression. Conclusion the co morbidity of FD and neuropsychological disorders is higher. The age, marital status, negative life events, quality of life score and the combination of other functional gastrointestinal diseases are independent risk factors for FD and anxiety and depression.
【作者單位】： 廣東省化州市人民醫(yī)院內(nèi)一科;中山大學(xué)附屬第三醫(yī)院消化內(nèi)科;重慶市第一人民醫(yī)院消化內(nèi)科;
【基金】：國(guó)家自然科學(xué)基金資助項(xiàng)目(30971357)
【分類號(hào)】：R57
，

本文編號(hào)：2149214