CAJ | 학술논문

目的：分析贲门失弛缓症患者心理状态，并评估经口内镜下肌切开术对其影响。方法：采用Zung氏焦虑自评量表（SAS）和抑郁自评量表(SDS)对302名正常人及302例贲门失弛缓症患者行POEM治疗前后的焦虑、抑郁情绪进行评估。结果：患者组焦虑、抑郁得分均高于正常人群组(P<0.05)，并且与病情严重程度成正比，POEM手术后SAS和SDS得分均较术前明显下降(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AC患者的焦虑、抑郁情绪。
목적：분석분문실이완증환자심리상태，병평고경구내경하기절개술대기영향。방법：채용Zung씨초필자평량표（SAS）화억욱자평량표(SDS)대302명정상인급302례분문실이완증환자행POEM치료전후적초필、억욱정서진행평고。결과：환자조초필、억욱득분균고우정상인군조(P<0.05)，병차여병정엄중정도성정비，POEM수술후SAS화SDS득분균교술전명현하강(P<0.05)。결론：분문실이완증환자존재명현적초필、억욱정서，POEM수술능명현완해AC환자적초필、억욱정서。
Objective: To analyze psychological state of patients with achalasia, and to evaluate the effect of peroral endoscopic myotomy (POEM) on them. Methods:Zung's Self-rating anxiety Scale (SAS) and self-rating depression scale (SDS) were used to assess the anxiety and depression of 302 normal subjects and 302 achalasia patients who accepted POEM treatment. Results:The anxiety and depression scores of patients with achalasia were higher than normal group (P<0.05), which were closely related to the severity degree of symptom (P<0.05) and can be signiifcantly reduced by POEM (P<0.05). Conclusion:Achalasia patients suffered from anxiety and depression, POEM can effectively relieve these negative emotion.