难治性功能性肠病患者的心理社会因素与生活质量评估解析.docVIP

难治性功能性肠病患者的心理社会因素与生活质量评估 [摘要] 目的 探讨难治性难治性功能性肠病患者的心理社会因素和评估其生活质量。方法 采用自行设计的一般情况调查表焦虑自评量表（SAS）抑郁自评量表(SDS)病例对照研究SDS积分SAS积分P0.05或P0.01） 结论 难治性功能性肠病患者多伴有抑郁或焦虑症状，患病人群的生活质量明显下降，故重视难治性功能性肠病患者的心理社会因素的评估有重要的意义。 【关键词】　；；；；Refractory functional bowel disorders of psychological social factors and life quality evaluation [Abstract] Object To investigate refractory functional bowel disorders of psychological social factors and assess their quality of life.Methods Self-designed general questionnaire, gastrointestinal symptoms questionnaire, Life Event Scale (LES), self-rating anxiety scale (SAS), Self-Rating Depression Scale (SDS) and health status questionnaire (SF-36)case-control study of 60 patients with refractory functional bowel disorder patients and healthy people.Results Negative life events score, SDS integral and SAS integral, functional bowel disorder group were significantly higher; refractory patients with functional bowel disorders Points of quality of life and anxiety, depression integral was negatively correlated with negative life eventsscore and anxiety and depression was positively related. (P 0.05 or P 0.01) Conclusion More associated with depression or anxiety symptoms in patients with refractory functional bowel disorder, sick people decreased quality of life, the emphasis on the assessment of the psychological and social factors in refractory patients with functional bowel disorders has important implications. [key words]Refractory functional bowel disorders; psychosocial factors; quality of life assessment; anxiety; depression 功能性肠病(FBDs)是指症状主要来源于中下胃肠道的功能性胃肠病，依据罗马Ⅲ诊断标准分为肠易激综合征(IBS)、功能性腹胀（FB）、功能性便秘（FC）、功能性腹泻（F-D）和非特异性功能性肠病(U-FB-D)五类。FBDs是消化系统常见疾病，其病因及发病机制尚不明确，目前认为与多种病生理改变有关(如胃肠动力调节异常、内脏敏感性增高、社会心理因素和应激、脑-肠轴调节障碍、炎症等) 【】与方法--2012年月罗马III诊断标准符合罗马III诊断标准【】III诊断标准（2）实验室检查及B超等检查结果以及既往的病史调查中每发现一例病例，按照1:1配比设计，选择一名与该患者同性别、同年龄段、职业相近的健康作为对照，进行填表病例对照研究。 一般情况调查表 根据本次研究需要自行设计，包括姓名、年龄、性别、职业等。焦虑自评量表（SAS）和抑郁自评量表(SDS)即著名的Zung量表，均由20个条目组成。其主要评定依据为条目所定义的症状出现的频率，分4级SAS标准分的临界值是50分，