肠易激综合征患者精神心理分析

The psychological analysis in patients with irritable bowel syndrome

目的比较肠易激综合征患者(IBS)与正常健康人之间焦虑、抑郁症状的差异,探讨IBS发病与精神心理因素的关系。方法收集蚌埠医学院第一附属医院消化内科确诊的IBS患者100例及正常对照100例,采用焦虑自评量表(SAS)及抑郁自评量表(SDS)分别对2组进行焦虑、抑郁症状评分,并进行统计分析。结果 IBS患者的焦虑、抑郁患病率分别为28%(28/100)、35%(35/100);IBS患者SAS及SDS评分分别为47.27±10.53、48.16±9.41,正常对照组分别为40.62±8.23、42.25±9.25,IBS组SAS及SDS评分均显著高于正常对照组(P均<0.01);其中,女性IBS患者分别占IBS组焦虑、抑郁患病率的64.3%(18/28)、60.0%(21/35),其SAS及SDS评分分别为49.12±9.21、52.25±9.34,男性IBS患者SAS及SDS评分分别为46.56±8.72、47.81±8.93,女性IBS患者SAS及SDS评分均显著高于男性IBS患者(P均<0.05)。结论 IBS发病与精神心理因素密切相关,女性IBS患者精神心理症状比男性更为多见。

Objective To compare the differences of anxiety and depression symptom（ IBS） between irritable bowel syndrome patients and normal health people. Methods One hundred IBS patients who had diagnosed in the First Affiliated Hospital of Bengbu Medical College and 100 normal control cases were collected,the self-rating anxiety scale（ SAS） and self-rating depression scale（ SDS） were used to scale the score of anxiety and depression symptom in the two groups and analyzed statistically. Results The incidence rates of anxiety and depression symptoms were 28%（ 28 /100） and 35%（ 35/100） respectively in IBS patients,and the scores of SAS and SDS were 47.27 ±10.53 and 48.16 ±9.41 respectively,which were higher than those（ 40. 62 ± 8. 23 and 42. 25 ± 9. 25） in control group（ P 0. 01）. The incidence rates of anxiety and depression symptom in female IBS patients were 64. 3%（ 18 /28） and 60. 0%（ 21 /35）,the scores of SAS and SDS were 49. 12 ± 9. 21 and 52. 25 ± 9. 34. The scores of SAS and SDS in IBS male patients were 46. 56 ± 8. 72 and47. 81 ± 8. 93,which were lower than those in female（ P〈0. 05）. Conclusion The incidence of IBS was closely related with psychological factors,the psychological symptom in female IBS patients were more than in male IBS patients.