子宫内膜异位症与情志因素的相关研究

Endometriosis Associated with the Study of Emotional Factors

目的:探讨社会心理刺激强度、个性特征与子宫内膜异位症(EM)的发病关系。方法:50例EM及50例正常者自己填写艾森克人格问卷(EPQ)、工作生活事件量表(LES),统计分析量表结果。结果:(1)EM患者及正常者总LES分为负数的值存在显著差异(P<0.01)。(2)50例EM患者中生活事件总刺激量为负数的有43例(86%),生活事件总刺激量分数<-20有11例(22%),生活事件总刺激量分数<-30有4例(8%)。50例正常者中生活事件总刺激量为负数的有24例(48%),没有生活事件总刺激量分数<-20。(3)P1-P2(P<0.01),说明二者存在极显著差异。(4)EM组中,多血质倾向5例,占10%;黏液质-多血质交界20例,占40%。正常组中,多血质倾向18例,占36%;黏液质-多血质交界4例,占8%。结论:(1)社会心理应激因素与EM成正相关,负向分数越高越容易患EM。(2)黏液质-多血质交界体质所表现出来的情志很有可能是导致EM的一个情志原因。而多血质倾向体质所表现的情志不容易患EM。(3)EM患者精神质的表现程度高。

Purpose The purpose of this study is to investigate the pathogenesis of psychological stimulus intensity.Way 50 EM patients and 50 Normals fill in the two questionnaire scales of Eysenck Personality Questionnaire（Eysenck Personality Questionnaire,EPQ）,Work and Life events Scale（Life Event Scale,LES） by their own,respondents researcher statistics the results of above-mentioned two questionnaire scales.Result 1） The ratio of EM patients and normals＇ negative values of LES presences for very significant difference（P=0.0010.01）.2） 50 EM patients with life events to stimulate the amount of negative total,43 people（86%）,life events to stimulate the volume fraction of total -20,11 people（22%）,life events to stimulate the volume fraction of total -30 4 people（8%）.50 life events in the normal total amount of negative stimulation of 24 people（48%）,no normals stimulate the amount of total life events score -20.3） P1-P2（P=0.001） 0.01,shows the two had significant differences.4） 50 EM group,sanguine tendency to 5,10%;mucus quality-quality of the junction of multiple blood 20,40%.50 normal group,sanguine tendency to 18,accounting for 36%;phlegm-sanguine at the junction of four people 8%.Conclusion 1） The positively of psychosocial stress factors and EM is positive correlation,and the higher the minus score the more susceptible to EM.2） The Emotional shown by the People with Phlegmatic-sanguine at the junction of Constitution is most likely lead to an emotional cause EM.The emotional shown by the people with sanguine tendency to physicall is few susceptible to EM.3） The degree of shown for the EM patients＇ psychoticism is more higher.