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目的研究精神心理障碍对功能性消化不良患者的胃功能与生活质量的影响。方法从我院于2014年10月至2016年12月消化内科就诊患者中,选取58例有精神心理障碍的患者为研究组,58例无心理障碍患者为常规组,详细观察比较两组患者生活质量评分(包括情感职能、活力、生理功能、生理职能、社会功能、躯体疼痛、精神健康、总体健康等)、餐前后胃电图、水负荷试验及SPECT胃排空实验等情况。结果常规组患者各项生活质量评分均明显优于研究组(P<0.05);餐前餐后胃电图比较,研究组患者正常节律百分比明显比常规组低(P<0.05),研究组胃动过缓率与主频不稳定系数显著比常规组高(P<0.05);水负荷试验与SPECT胃排空实验比较,常规组患者初始感觉量与最大耐受量明显比研究组更高(P<0.05),而研究组胃排空时间明显长于常规组,差异有统计学意义(P<0.05)。结论精神心理障碍与功能性消化不良密切相关,它可对患者生活质量与胃功能造成一定不良影响。
Objective To study the effects of mental disorders on gastric function and quality of life in patients with functional dyspepsia. Methods From our hospital from October 2014 to December 2016, 58 cases of patients with psychiatric disorders were selected as the study group and 58 cases without the psychological disorder as the conventional group, and the life of the two groups was compared and observed in detail Quality score (including emotional function, vitality, physiological function, physiological function, social function, physical pain, mental health, general health, etc.), pre and post gastric electrogastrogram, water load test and SPECT gastric emptying test. Results The scores of quality of life of all patients in the conventional group were significantly better than those in the study group (P <0.05). The pre-meal EGG showed that the percentage of normal rhythm in the study group was significantly lower than that in the normal group (P <0.05) (P <0.05). Compared with the SPECT group, the initial sensory and maximal tolerability of the conventional group were significantly higher than those of the study group (P <0.05) P <0.05), while the study group gastric emptying time was significantly longer than the conventional group, the difference was statistically significant (P <0.05). Conclusions Mental disorders are closely related to functional dyspepsia, which may have adverse effects on the quality of life and gastric function of patients.