睡眠障碍伴焦虑躯体化症状的临床研究

Clinical Study of Sleep Disorders with Anxiety Somatic Symptoms

目的:探讨睡眠障碍伴焦虑躯体化症状患者的临床特点,为此类患者的诊断提供有价值的线。方法:选取2015年7月至2016年3月在安徽省立医院神经内科门诊就诊睡眠障碍的患者并发放问卷121份进行躯体化症状调查,剔除资料不完整的问卷,共收回有效问卷104份,对问卷资料进行分析。结果:104例睡眠障碍伴焦虑躯体化症状的问卷量表中处于重度心理情绪问题的占48.1%,SSS ≥ 38分有72名,焦虑抑郁情绪检出率为69.2%。性别因素对躯体化症状有影响,躯体化症状总分越高,焦虑程度越高,躯体化症状与焦虑状态有一定的相关性。结论:综合医院医生应该重视以睡眠障碍伴焦虑躯体化症状为主要表现的患者,及时发现和规范治疗,以提高诊疗水平。

Objective: Provide valuable clues for the diagnosis of the patients to investigate the clinical cha-racteristics of patients having sleep disorder with anxiety somatic symptoms. Methods: Select the 121 of the patients in neurology clinic from July 2015 to March 2016 in Anhui Provincial Hospital. Among them, 104 questionnaires are valid. Among the 104 cases of the patients with sleep disorders, those who are in severe psychological and emotional issues account for 48.1%;72 patients score higher than 38 in the scale of SSS, and the rate of anxiety and depression detection is 69.2%. The gender factors have an impact on somatic symptoms, and the higher the somatic symptoms scores, the higher the degree of anxiety, so the somatic symptoms have something to do with the anxiety states. Conclusion: General Hospital doctors should pay attention to the patients having sleep disorder with anxiety and somatic symptoms, and give them timely detection and standardized treatment to improve the level of diagnosis and treatment.