CAJ | 학술논문

目的：对功能性消化不良( FD)患者进行焦虑、抑郁评估,探讨FD和精神心理因素的关系,为临床治疗FD提供新的依据。方法选取符合RomeⅢ诊断标准的FD患者80例,其中餐后不适综合征(PDS)45例,上腹痛综合征(EPS)35例,另选取健康对照组45例作为比较对象,采用焦虑/抑郁自评量表(SAS/SDS)及消化不良症状积分量表评估FD患者的焦虑、抑郁及消化不良状况。结果 FD组、PDS组、EPS组SAS、SDS评分较对照组均明显增高(P<0.05)；而PDS组与EPS组的SAS、SDS评分比较差异无统计学意义(P>0.05)；FD患者的消化不良症状积分与SAS、SDS评分均呈正相关(P<0.05)。结论精神心理因素对FD的发病起促进作用；焦虑、抑郁评分越高,FD患者消化不良主观症状越严重。
목적：대공능성소화불량( FD)환자진행초필、억욱평고,탐토FD화정신심리인소적관계,위림상치료FD제공신적의거。방법선취부합RomeⅢ진단표준적FD환자80례,기중찬후불괄종합정(PDS)45례,상복통종합정(EPS)35례,령선취건강대조조45례작위비교대상,채용초필/억욱자평량표(SAS/SDS)급소화불량증상적분량표평고FD환자적초필、억욱급소화불량상황。결과 FD조、PDS조、EPS조SAS、SDS평분교대조조균명현증고(P<0.05)；이PDS조여EPS조적SAS、SDS평분비교차이무통계학의의(P>0.05)；FD환자적소화불량증상적분여SAS、SDS평분균정정상관(P<0.05)。결론정신심리인소대FD적발병기촉진작용；초필、억욱평분월고,FD환자소화불량주관증상월엄중。
Objective To evaluate the psychological factors in patients with functional dyspepsia,and explore the re-lationship between FD and the psychological factors,then further to provide a new theoretical basis for clinical treatment of FD. Methods Eighty patients diagnosed as FD were enrolled including 45 patients with postprandial distress syndrome (PDS),35 patients with epigastric pain syndrome (EPS). Meanwhile,45 healthy persons were regarded as control group. We use Self-Rating Anxiety Scale ( SAS) and Self-Rating Depression Scale ( SDS) and Dyspeptic symptoms scale to evalu-ate the condition of anxiety,depression and dyspeptic symptoms in FD. Results In group FD,PDS and EPS,the SAS score,the SDS score were significantly higher than control group(P<0. 05). But no significant difference was found be-tween the group PDS and group EPS (P>0. 05). The Dyspeptic symptoms Scale had significant positive correlations with the SAS score,the SDS score (P<0. 05). Conclusions Anxiety and depression may play a promotional role in the de-velopment of FD. The higher the SAS and SDS were,the more serious the dyspeptic symptoms in FD patients.