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近年来有关消化性溃疡(PU)的病理生理机制研究认为:壁细胞的泌酸、胃粘膜屏障以及胃排空功能三者之间的功能失调是发病的重要环节,越来越多的研究已证实其致病因素除了幽门螺杆菌(Hp)感染外,尚与社会心理因素密切有关,消化性溃疡与紧张性生活事件的关系研究较多.但潜在的人格特点对 PU 的形成发展所起的中介因素的研究较少,从1997-04/1998-10我们对50例男性 PU 患者,从心理动力学的角度,采用主题统觉测(简称 TAT)、心理防御方式测验(简称DSQ)和正常健康人进行对照研究.现将结果报告如下:1 材料和方法1.1 材料我们选择了萧山市第二人民医院内科病区的 PU患者及同一区域的健康青壮年.由临床确诊并经纤维内镜检查及 Hp 证实的青壮年男性 PU 患者;无精神神经疾病的症状和体征和其他躯体疾病;初中文化以上.对照组以同村、同年龄组、同文化水平、同婚姻状况配对入组.分为 PU 组(溃疡组)和正常健康人对照组(对照组).1.2 方法采用 TAT 和 DSQ 测验工具,TAT 从无意识投射的角度来判断被试者的潜在人格结构和人格内容,掩饰少,对内隐的行为或潜意识特别敏感,能引起许多广泛而多维的主观反应,并使受试者常常在不完全觉察到的情况下,能引发出丰富的反应资料来.是一种对图片反应所形成的半结构式测验.而 DSQ 则是在精神动力学理论演变而来的对心理防御反应方式的判定,用问卷方式进行的结构式测验,受被试意识层的影响较多,具有一定的掩饰性.所得资料采用 SPSS 社会科学统计软件包在 PⅡ-350计算机上完成统计分析.2 结果溃疡组和对照组共计50对,其背景资料两组无统计学上的差异见表1.表1 背景资料对照分析 (n=50,■±s,x~2 P>0.05)项目年龄受教育年限已婚未婚溃疡组 36.8±7 3 9.8±1.5 47 3对照组 35.2±7.5 10.2±1.2 47 3
In recent years, the pathophysiological mechanism of peptic ulcer (PU) studies suggest that dysfunction of parietal cells in acid secretion, gastric mucosal barrier and gastric emptying function is an important part of the pathogenesis, more and more studies have been Confirmed its pathogenic factors in addition to Helicobacter pylori (Hp) infection, but also with the social and psychological factors are closely related to the relationship between peptic ulcer and stressful life events are more.But the potential personality traits of PU formation and development From 1997-04 / 1998-10, 50 cases of male PU patients, from the point of view of psychokinetics, adopted the theme of TAT, the psychological defense test (referred to as DSQ) and the normal The results are reported as follows: 1 Materials and methods 1.1 Materials We selected the Second People’s Hospital of Xiaoshan City, the medical ward of PU patients and healthy young adults in the same area by the clinical diagnosis and endoscopic examination by fiber And Hp confirmed young male patients with PU; no symptoms and signs of mental neuropathy and other somatic diseases; junior high school or above .Control group with the same village, the same age group, with the same level of education, with marriage Were divided into PU group (ulcer group) and normal healthy control group (control group) .1.2 Methods Using TAT and DSQ test tools, TAT judged the subject’s potential personality structure and personality from the perspective of unconscious projection Content, cover up less sensitive to implicit behavior or subconscious, can cause a wide range of multi-dimensional subjective response, and often not fully aware of the subject, can trigger a wealth of response data. A semi-structural test formed by the reaction to the picture, while DSQ is the structural test of psychological defense response evolved from the theory of psychodynamic dynamics, and structured questionnaire, , With a certain degree of disguise.The data obtained using SPSS social science statistical package on the PⅡ-350 computer to complete the statistical analysis.Results 2 ulcer group and control group, a total of 50 pairs of the background information between the two groups showed no statistical differences in the table Table 1 Background data Control analysis (n = 50, ■ ± s, x ~ 2 P> 0.05) Item Age Years of education Married unmarried ulcer group 36.8 ± 7 3 9.8 ± 1.5 47 3 Control group 35.2 ± 7.5 10.2 ± 1.2 47 3