焦虑抑郁障碍误诊为慢性胃炎的临床分析

Clinical Analysis of Anxiety-depression Disorder Misdiagnosed as Chronic Gastritis

探讨焦虑抑郁障碍与慢性胃炎之间的关系。统计半年内在心理科门诊及住院治疗的焦虑抑郁障碍患者中曾被误诊为"慢性胃炎"的情况。结果有38例患者做胃镜检查,其中37例患者显示"浅表性胃炎"或"糜烂性胃炎",仅1例患者胃镜报告正常。40%(15例)按"慢性胃炎"治疗能暂时减轻症状,而60%(23例)按"慢性胃炎"治疗不仅无效,症状反而加重。研究结果提示浅表性胃炎或糜烂性胃炎与人的情绪紧密相关,是焦虑抑郁障碍最常见的躯体症状之一。

This paper explores the relationship between anxiety-depression disorder and chronic gastritis. Out-patients and in patients with anxiety-depression disorder that were misdiagnosed as ＂chronic gastritis＂ were statistically analyzed in the mental department in the half a year. 38 patients had gastroscopy, 37 of them showed ＂superficial gastritis＂ or ＂erosive gastritis＂, only 1 patients reported normal gastroscopy. 40% （15 cases） of patients can be temporarily reduced by the treatment of ＂chronic gastritis＂, while 60% （23 cases） of patients were not only ineffective by the treatment of ＂chronic gastritis＂, but the symptoms aggravated. The results suggest that superficial gastritis and erosive gastritis are closely related with human emotions. Anxiety-depression disorder is one of the most common somatic symptoms.