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[目的]探讨肠易激综合征(IBS)患者肠外躯体化症状与焦虑的相关性。[方法]91例IBS患者完成焦虑量表(SAS)、成人健康问卷15-项躯体症状量表(PHQ-15)及IBS病情尺度调查表(IBS-SSS),同时收集所有病例相应临床资料,统计并分析IBS躯体化症状与焦虑的分布情况及相互关系。[结果]IBS患者焦虑状态、躯体化症状患病率分别为52.7%(48/91)、76.9%(7/91)。焦虑评分为(50.01±12.45)分,15-项躯体症状评分为(9.37±5.66)分,IBS消化道症状评分为(206.96±88.97)分;相关分析显示IBS患者消化道症状与躯体化症状、焦虑呈正相关(相关系数r分别为0.622、0.506);躯体化症状与焦虑也呈正相关(r为0.713),其中背痛、肌肉酸痛、感觉疲劳、睡眠问题是影响焦虑的危险因素(P<0.05)。[结论]肠外躯体化症状及焦虑状态在IBS患者中常见,两者不但存在相互促进关系,还与IBS消化道症状密切相关,临床上治疗IBS患者应采取缓解躯体化症状和改善焦虑的心身同治策略。
[Objective] To explore the correlation between extraintestinal somatic symptoms and anxiety in patients with irritable bowel syndrome (IBS). [Methods] The 91 patients with IBS completed the SAS, the 15-item Somatic Symptom Questionnaire (PHQ-15) and IBS-SSS of adult health questionnaire, and collected the corresponding clinical data of all cases, Statistics and analysis of IBS somatic symptoms and anxiety distribution and correlation. [Results] The prevalences of anxiety and somatization in IBS patients were 52.7% (48/91) and 76.9% (7/91) respectively. Anxiety score was (50.01 ± 12.45) points, 15-item somatic symptom score was (9.37 ± 5.66) points, IBS gastrointestinal symptom score was (206.96 ± 88.97) points; correlation analysis showed that IBS patients with gastrointestinal symptoms and somatization symptoms, Anxiety was positively correlated (r = 0.622,0.506, respectively); somatization was also positively correlated with anxiety (r = 0.713), of which back pain, muscle aches, fatigue and sleep problems were the risk factors of anxiety (P <0.05 ). [Conclusion] Extraintestinal somatic symptoms and anxiety states are common in patients with IBS. They not only promote each other, but also are closely related to the gastrointestinal symptoms of IBS. Clinically, patients with IBS should be relieved of somatization symptoms and improve anxiety Tongzhi strategy.