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目的为提高肠易激综合征(IBS)患者的诊断及治疗,对肠激综合征患者的个性和心理因素进行研究。方法 61例肠易激综合征患者为观察组,并选择同期正常体检的61例健康人群为对照组,对两组观察对象分别进行进行艾森克(EPQ)问卷调查,症状自评量表(SCL-90)评定,比较两组观察对象的神经质(E),精神质(P),性格内外向(N),掩饰质(L)及SCL-90中的躯体化,人际关系敏感、强迫、抑郁、敌对性、焦虑、偏执、恐怖、精神病性的各项差异。结果观察组的E、P、N、L的评分与对照组比较,差异有统计学意义(P<0.01);观察组的躯体化、人际关系敏感、强迫、抑郁、敌对性、焦虑、偏执、恐怖、精神病性与对照组比较差异有统计学意义(P<0.01)。结论与正常人相比,肠易激综合征患者的个性及心理因素存在明显的特异性,与其发病关系密切,在诊断及治疗过程中应充分考虑。
Objective To improve the diagnosis and treatment of patients with irritable bowel syndrome (IBS) and study the personality and psychological factors of patients with irritable bowel syndrome. Methods Sixty-one patients with irritable bowel syndrome (IBS) were selected as the observation group and 61 normal subjects in the same period were selected as the control group. EPQ questionnaires, Symptom Checklist 90 SCL-90) were used to assess the relationship between neuroticism (E), psychoticism (P), personality introversion (N), mask quality (L) and somatization in SCL-90, Depression, hostility, anxiety, paranoid, terrorist, psychotic differences. Results The scores of E, P, N and L in the observation group were significantly different from those in the control group (P <0.01); somatization, interpersonal sensitivity, coercion, depression, hostility, anxiety, Terror and psychosis were significantly different from the control group (P <0.01). Conclusion Compared with normal people, the patients with irritable bowel syndrome have obvious personality and psychological factors, which are closely related to their pathogenesis. They should be fully considered in the diagnosis and treatment.