乳腺实性肿物患者职业因素及人格分型分析

目的分析乳腺实性肿物患者的职业分布及人格分型，为其病因研究、预防干预提供依据。方法：随机选取2011年1月-2014年10月福田区乳腺肿瘤患者200例为观察组，同时抽取200例体检正常的健康女性为对照组。通过问卷方式收集患者基本情况及职业，对受访者职业进行分类并进行对照分析；应用明尼苏达多项人格调查问卷，对两组人格分型进行比较。结果：电子工人、化工工人、塑料加工工人、教师及个体户有患乳腺实性肿物疾病的倾向（P〈0．05）；而工艺美术设计人员、会计、护士、机关事业人员及待业对患乳腺实性肿物疾病具有保护作用（P〈0．05）。两组在人格稳定型与否方面比较，在统计学上具有显著性差异（P〈0．05）。观察组患者疑病症、抑郁症、歇斯底里、精神病态偏倚、精神衰弱、轻躁狂及社会内向评分显著高于对照组（P〈0．05）。结论：从事电子、化工、塑料加工、教师职业及个体户，及抑郁、歇斯底里、精神病态偏倚、精神衰弱、轻躁等人格特质容易诱发乳腺实性肿物，建议采取积极的职业防护及心理支持，降低其影响。

Objective To analyze occupation distribution and personality t yping of solid breast lesions of patients and provide evidences forthe reason of disease of study, prevention and intervention. Methods： 200 cases of patients with breast cancer from January 2011 to October2014 in Futian District were randomly selected as the observation group, at the same time , normal healthy women were selected as controlgroup. The basic condition and occupation of patients by questionnaire were collected, occupation of respondents was classified and controlanalyzed; Minnesota Muhiphasic Personality Questionnaire was applied , personality typing of patients of two groups were compared. Results：Electronic workers, workers in chemical industry, plastics processing workers, teachers and the self-employed have the tendency of breast solidmass disease （P〈0.05）; and arts and crafts design personnel, accounting, nurses, organs and institutions of staff and unemployed in patients withsolid mass of mammary gland disease has protective effect （P 〈0.05）. The two groups in the personality stability or not, the comparison,statistically significant difference （P〈0.05）. Observation group patients with suspected disease, depression, hysteria, mental pathological bias,psychasthenia, hypomania mad and social introversion score was significantly higher than the control group （P〈0.05）.Conclusion： In theelectronic, chemical, plastics processing, teacher/s occupation and the self-employed occupation and they have depression, hysteria,psychopathic bias, psychasthenia, hypomania and other personality traits to induce breast solid mass, suggest taking protective and mentaloccupation support actively, reducing the effect.