反流性食管炎患者心理社会因素分析

The analysis of psychosocial factors in patients with reflux esophagitis

目的 探讨心理社会因素与反流性食管炎的关系。方法 测定并分析 10 4例反流性食管炎病人及 10 0例健康人的生活事件单位 ,社会支持程度和艾森克人格问卷四项量表分 (EPQ P、EPQ E、EPQ N、EPQ L)。结果 反流性食管炎病人的LCU、EPQ N分明显高于健康人 (P <0 .0 1)。社会支持总分低于健康人 ,多元回归分析结合各因素间的相关分析显示 :社会、心理因素对反流性食管炎的发病起关键的作用。结论 高生活事件单位和社会支持程度可能诱发反流性食管炎 。

Objective To explore the relationship between psychosocial factors and reflux esophagitis.Method To measure and analyse life change units(LCU),the degree of social support and personality(EPQ P,E,N,L) in 104 patients with reflux esophagitis and 100 healthy controls. Results LCU, EPQ N in patients were significantly higher than those in healthy controls(P<0.01).But the total scores of social support in patients were significantly lower than those in healthy controls(P<0.01). Multiple regression analysis and correlation analysis among all factors indicate that psychosocial factors are major contributory ones in the process of reflux esophagitis. Conclusion Relux esophagitis may be induced by high LCU and the degree of social support,and influenced by personality.