CAJ | 학술논문

目的：评估贲门失弛缓症（AC）患者行经口内镜下食管肌层切开术（peroral endoscopic myotomy ，PO‐EM ）治疗的心理状态，探讨心理干预对其的影响。方法采用 Zung 氏焦虑自评量表（SAS）和抑郁自评量表（SDS）对50例行 POEM 手术 AC 患者的焦虑、抑郁情绪进行评估，针对患者心理问题的状态和原因分别实施有针对性的心理干预，并与正常人群进行比较。结果贲门失弛缓症患者组焦虑、抑郁得分均高于正常人群组（P ＜0．05），POEM 手术后 SAS 和 SDS 得分均较术前明显下降（P ＜0．05），心理干预组患者较对照组分值更低（P ＜0．05）。结论贲门失弛缓症患者存在明显的焦虑、抑郁情绪，POEM 手术能明显缓解贲门失弛缓症患者的焦虑、抑郁情绪，心理干预有助于进一步改善患者的焦虑、抑郁情绪。
목적：평고분문실이완증（AC）환자행경구내경하식관기층절개술（peroral endoscopic myotomy ，PO‐EM ）치료적심리상태，탐토심리간예대기적영향。방법채용 Zung 씨초필자평량표（SAS）화억욱자평량표（SDS）대50례행 POEM 수술 AC 환자적초필、억욱정서진행평고，침대환자심리문제적상태화원인분별실시유침대성적심리간예，병여정상인군진행비교。결과분문실이완증환자조초필、억욱득분균고우정상인군조（P ＜0．05），POEM 수술후 SAS 화 SDS 득분균교술전명현하강（P ＜0．05），심리간예조환자교대조조분치경저（P ＜0．05）。결론분문실이완증환자존재명현적초필、억욱정서，POEM 수술능명현완해분문실이완증환자적초필、억욱정서，심리간예유조우진일보개선환자적초필、억욱정서。
Objective To evaluate the treat mental state of achalasia of the cardia (AC) patients via oral en‐doscopic myotomy (POEM ) ,and the impact of psychological intervention .Methods Fifty AC patients with POEM surgery were randomly divided into psychological intervention and control groups ,and their anxiety and depression were assessed by Zung′s Self‐rating Anxiety Scale (SAS) and self‐rating depression scale (SDS) ;the patients with psychological problems are the implementation of targeted psychological in ‐tervention ;then we compare the results with the normal group .Results The anxiety ,depression scores of Achalasia patients were higher than the normal group (P < 0 .05) ;after POEM operation SAS and SDS scores were significantly decreased (P < 0 .05) ;patients with psychological intervention were lower than that of the control group (P < 0 .05) .Conclusion Achalasia patients suffered from anxiety ,depression , and POEM operation can alleviate the anxiety ,depression of Cardia Achalasia patients ,and psychological intervention is helpful to further cure the anxiety ,depression of patients .