躯体化障碍临床特征的研究

Study on clinical feature of somatization disorder

目的探讨躯体化障碍的临床特征,提高医务人员对躯体化障碍的认识。方法采用自己编制的病史问卷对59名躯体化障碍患者进行调查,并对结果进行分析。结果躯体化障碍发病率在性别上差异无显著性(2χ=2.051,P>0.05),病程冗长,多呈慢性迁延性,平均病程7.8 a;躯体化障碍多发生于初中以下文化、农民及家庭经济一般的人群(P<0.01);临床症状可以涉及多个系统,症状分布频率为消化系统72.9%、神经系统71.2%、呼吸循环系统59.3%、肌肉骨骼74.6%、皮肤62.7%、泌尿生殖系统16.9%。结论躯体化障碍多发生于文化程度较低和家庭经济一般的人群,症状可涉及多个系统器官。

Objective To explore the clinical feature of somatization disorder and improve the capability of identifying it. Methods Fifty-nine patients with somatization disorder were investigated with self-designed questionnaire for medical history, the results were analyzed. Results The incidence of somatization disorder had no difference between men and women （χ^2 = 2. 051 ,P 〉 0.05 ） ,the course of disease was tediously long and the average course was 7.8 years. Persons with low education, poor career and moderate economy were easy to infect this disease（ P 〈0.01 ）. Their clinical symptoms involved in multi-system such as the alimentary system （ 72.9% ） , nervous system （ 71.2% ） , respiration and circulation system （ 59.3% ）, muscle and skeleton（74.6% ） ,skin（62.7% ） and genitourinary system（ 16. 9% ）. Conclusion Somatization disorder occurs easily to person with low education and moderate economy,its symptoms involve in multi-system.