消化系统疾病患者的心理状态分析

Analysis of mental status of patients with diseases of digestive system

目的分析消化系统疾病患者的心理状态。方法对我院消化科确诊为消化系统疾病的109例患者,采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)进行问卷调查。并以39例健康志愿者为正常对照,对比研究焦虑、抑郁的发生率。结果共调查肝硬化患者39例,消化性溃疡患者35例,溃疡性结肠炎患者35例,各组患者中焦虑、抑郁及焦虑合并抑郁的发生率分别为:肝硬化28.2%,38.5%,28.2%,消化性溃疡34.3%,31.4%,25.7%,溃疡性结肠炎28.6%,25.7%,20.0%,与正常对照组(7.7%,7.7%,2.6%)相比,肝硬化、消化性溃疡、溃疡性结肠炎患者中焦虑、抑郁及焦虑合并抑郁的发生率均升高(P<0.05)。其中病程≥1年的患者相对病程<1年的患者抑郁障碍发生率高。结论肝硬化、消化性溃疡、溃疡性结肠炎患者焦虑、抑郁障碍的发生率显著高于正常人群,且疾病的病程对患者的情绪障碍有影响。

Objective To investigate the mental status of patients with diseases of digestive system. Methods The survey was conducted by a questionnaire among 109 patients diagnosed as digestive diseases. Hamilton depressive scale（HAMD） and Hamilton anxiety scale （HAMA）were used in the survey. And 39 healthy volunteers were chosen as controls. The data of the questionnaire were compared. Results A total of 39 patients with liver cirrhosis,35 patients with peptic ulcer and 35 patients with colitis gravis were enrolled. The incidences of anxiety,depression and anxiety complicating depression were 28.2% ,38.5% ,28.2% in patients with liver cirrhosis,34.3% ,31.4% ,25.7% in patients with peptic ulcer,28.6% ,25.7% ,20.0% in patients with colitis gravis, significantly higher than that in controls（7.7% ,7.7% ,2.6% ）. Compared with patients with the disease duration 〈 1 year,the patients with the disease duration≥ 1 year showed a significantly higher incidence of depression disorders. Conclusion The incidences of anxiety, depression in patients with liver cirrhosis, peptic ulcer and colitis gravis are higher than that in health subjects. And emotional disorder is influenced by duration of disease.