胃癌高发区社会心理因素对慢性胃炎发病的影响

The Impact of Social Psychological Factors to the Morbidity of Chronic Gastritis of Gastric Cancer High Incidence Area

目的探讨胃癌高发区人群慢性胃炎发病和社会心理因素的相关性。方法 以经过确诊的93例慢性浅表性胃炎(CSG)和69例萎缩性胃炎(CAG)患者作为研究对象,健康志愿者作对照组,了解上述人群各项社会心理因素情况。结果 (1)CSG组人际关系敏感、强迫症所占比例明显高于对照组(P均<0.005),睡眠差高于对照组(P<0.05)。(2)女性CSG患者焦虑、抑郁所占比例明显高于男性CSG患者(P均<0.005),负性应激事件及人际关系敏感高于男性CSG患者(P均<0.05)。(3)CAG组强迫症明显高于对照组(P<0.005),人际关系敏感高于对照组(P<0.05)。(4)女性CAG患者抑郁所占比例明显高于男性CAG患者(P<0.005),焦虑所占比例高于男性CAG患者(P<0.05)。结论 (1)该区人际关系敏感、强迫症状与CSG发病密切相关,睡眠差与CSG发病相关。(2)CAG发病与人际关系敏感相关,与强迫症密切相关。(3)女性人群应注意调整自我心理状态,以降低慢性胃炎发病率或减轻其症状。

Objective The purpose was to find the relevance between social psychological factors and the morbidity of chronic gastritis in high incidence area of gastric caner.Methods The subjects included 93 cases of chronic superficial gastritis（CSG） and 69 cases of chronic atrophic gastritis（CAG）.Control group was composed of healthy volunteers then analysis the situation of social and psychological factors.Results（1） In CSG group,interpersonal sensitivity,forced symptoms significantly was higher than the control group（P0.005）,poor sleep was higher than the control group（P0.05）.（2） In the female patients with CSG,the anxiety,depression was significantly higher than that in male（P0.005）,negative events and interpersonal senstitive was higher than male（P0.05）.（3） In CAG group,forced symptoms was significantly higher than the control group（P0.05）,interpersonal sensitivity was higher than the control group（P0.05）.（4） In the female patients with CAG,the depression was significantly higher than the male（P0.005）,the anxiety was higher than the male（P0.05）.Conclusion（1） Interpersonal sensitivity is closely related to CSG.Poor sleep is closely related to CSG.（2） Interpersonal sensitivity is closely related to CAG,and forced symptoms is very closely related to CAG.（3） Female should pay attention to self-adjust psychological state,to reduce the incidence of chronic gastritis or mitigate its symptoms.