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目的:调查分析腹痛患者焦虑发生情况及临床相关影响因素。方法:选取2013年10月至2014年8月间贵阳医学院附属医院以腹痛原因的患者,共计183例,根据出院诊断分为A、B两组,A组为腹痛原因诊断不清或诊断慢性胃炎或诊断功能性胃肠病的腹痛患者,共82例,B组为腹痛原因诊断明确的患者(除外慢性胃炎、功能性胃肠病诊断),采用汉密尔顿焦虑量表(HAMA)进行测评,统计以腹痛原因入院的患者焦虑发生率,同时根据性别、年龄、病程、诊断明确与否进行分组讨论。结果:A组焦虑发生率为59.76%高于B组的43.56%,30~50岁腹痛患者焦虑发生率为63.38%,高于另外两组;病程>1年的患者其焦虑发病率为66.67%,明显高于病程1年的患者(P<0.05)。结论:腹痛患者焦虑发生率高,临床医师需加以重视腹痛患者的心理健康,尤其要重视那些中年女性、病情反复迁延、不明原因或无明显器质性病变的腹痛患者,以提高躯体和心理的诊疗水平。
Objective: To investigate the incidence of anxiety in patients with abdominal pain and the related factors. Methods: A total of 183 patients with abdominal pain were included in the Affiliated Hospital of Guiyang Medical College from October 2013 to August 2014. A total of 183 patients were divided into A and B groups according to the discharge diagnosis. Group A was diagnosed as having abdominal pain or diagnosing chronic Gastritis or abdominal pain in patients with functional gastrointestinal disease, a total of 82 cases, group B patients with a clear diagnosis of abdominal pain (except chronic gastritis, functional gastrointestinal disease diagnosis), the use of Hamilton Anxiety Scale (HAMA) for evaluation, statistics Patients with abdominal pain due to the incidence of anxiety in patients with at the same time according to gender, age, duration, diagnosis clear or not for group discussion. Results: The incidence of anxiety in group A was 59.76%, while that in group B was 43.56%. The incidence of anxiety in abdominal pain patients aged 30-50 years was 63.38%, higher than the other two groups. The incidence of anxiety in patients with disease> 1 year was 66.67% , Significantly higher than the one-year duration of patients (P <0.05). Conclusion: The incidence of anxiety in patients with abdominal pain is high. Clinicians need to pay more attention to the mental health of patients with abdominal pain. Particular attention should be paid to those middle-aged women, patients with recurrent illness, unexplained or without organic disease, in order to improve physical and psychological The level of diagnosis and treatment.