腹痛患者焦虑情况及临床影响因素探讨

Investigation and Analysis of Anxiety and the Clinically Influence Factors in Patients with Abdominal pain

目的：调查分析腹痛患者焦虑发生情况及临床相关影响因素。方法：选取2013年10月至2014年8月间贵阳医学院附属医院以腹痛原因的患者,共计183例,根据出院诊断分为A、B两组,A组为腹痛原因诊断不清或诊断慢性胃炎或诊断功能性胃肠病的腹痛患者,共82例,B组为腹痛原因诊断明确的患者（除外慢性胃炎、功能性胃肠病诊断）,采用汉密尔顿焦虑量表（HAMA）进行测评,统计以腹痛原因入院的患者焦虑发生率,同时根据性别、年龄、病程、诊断明确与否进行分组讨论。结果：A组焦虑发生率为59.76%高于B组的43.56%,30-50岁腹痛患者焦虑发生率为63.38%,高于另外两组;病程〉1年的患者其焦虑发病率为66.67%,明显高于病程1年的患者（P〈0.05）。结论：腹痛患者焦虑发生率高,临床医师需加以重视腹痛患者的心理健康,尤其要重视那些中年女性、病情反复迁延、不明原因或无明显器质性病变的腹痛患者,以提高躯体和心理的诊疗水平。

Objective To investigate and analyze the clinically relevant factors that influence the incidence of anxiety in patients with abdominal pain. Method 183 patients were selected and hospitalized for abdominal pain in department of Gastroentrrology from October 2013 to August 2014, were evaluated on the Hamilton Anxiety Scale and discussed based on gender, age, disease, duration and diagnosis. Results The results showed that patients with abdominal pain in our hospital had a high incidence of anxiety amounting to 50.82 %.The incidence of anxiety was related to age, sex and disease duration. ConclusionThe patients with abdominal pain have a high incidence of anxiety. Clinicians should pay attention to the mental health of the patients with abdominal pain and should especially focus on middle-aged women, cases of persistent recurrent disease, or unexplained abdominal pain without obvious organic illness in order to improve upon the diagnosis and treatment in physiology and psychology.