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目的调查分析精神科门诊焦虑症患者与功能性月经失调的共病情况。方法对65名就诊于精神科门诊的18~40岁女性焦虑症患者采用焦虑自评量表(SAS)评价其焦虑程度,同时以自编的调查表进行月经情况调查,伴有月经失调者请妇科会诊排除器质性月经失调;采用SPSS17.0进行数据分析。结果 65名焦虑症患者中有53人共病功能性月经失调,占81.5%,共病率显著高于卢莉等人调查得到的普通女性月经失调的发生率44.7%(χ2=10.36,P<0.01);患者中月经失调组SAS评分显著高于月经正常组,差异有统计学意义;不同类型的月经失调组之间SAS评分差异无统计学意义;部分焦虑患者经治疗好转后,其月经也随之恢复正常。结论焦虑症患者中功能性月经失调患病率较高,2种疾病可能在发病机制上存在某种关联。
Objective To investigate and analyze the comorbidity of psychiatric outpatients with anxiety disorder and functional menstrual disorders. Methods Anxiety Scale (SAS) was used to assess the anxiety of 65 female anxious patients aged 18-40 years who were treated in the psychiatric outpatient department. At the same time, self-compiled questionnaires were used to investigate the menstrual conditions and those with menstrual disorders Gynecological consultation exclude organic menstrual disorders; using SPSS17.0 for data analysis. Results 53 of 65 anxiety patients had comorbid functional menstrual disorders, accounting for 81.5%. The comorbidity rate was significantly higher than that of Lula et al. (44.7%) (χ2 = 10.36, P < 0.01). SAS score of patients with menstrual disorders was significantly higher than that of normal menstruation group, the difference was statistically significant. There was no significant difference in SAS score between different types of menstrual disorders group. After the treatment of partial anxiety patients improved, their menstruation Then returned to normal. Conclusions The prevalence of functional menstrual disorders is high in patients with anxiety disorders. There may be some correlation between the two diseases in pathogenesis.