黑龙江医学
黑龍江醫學
흑룡강의학
Heilongjiang Medical Journal
2015年
9期
1043-1044
,共2页
乳腺增生症%危险因素%心理因素%精神因素
乳腺增生癥%危險因素%心理因素%精神因素
유선증생증%위험인소%심리인소%정신인소
Cyclomastopathy%Risk factor%Psychological factors%Mental factors
目的：探讨和筛选出哪些常见的心理、精神因素是乳腺增生症的危险因素，为乳腺增生症的一级预防提供科学依据，同时为该病的病因学研究提供参考。方法将2010－01－01～2011－12－31间在秦皇岛市第一医院、秦皇岛市妇幼医院、海港医院体检和乳腺门诊确诊的新发乳腺增生症患者选为病例组；乳腺症状、体征及影像学检查均为阴性者选为对照组。提前培训好调查人员，统一标准，对被调查者进行调查。主要内容包括：一般特征、心理、精神因素、孕产情况、月经史等。所获得的全部资料数据由两人分别重复输入电脑，建立数据库，校验正确后，运用SPSS11.6软件对各变量进行单因素分析，算出卡方值，继而引入多因素模型进行分析，计算OR值，估计OR值的95％可信区间，计算P值。同时分析乳腺增生症与各因素的关联强度。结果单因素分析：自我调节能力（χ2＝8.79，P＝0.01），容易生气（χ2＝6.43，P＝0.04），婚姻生活不和谐（χ2＝5.54，P＝0.02），精神创伤（χ2＝5.25，P＝0.02），人际关系（χ2＝6.70，P＝0.02）与乳腺增生症有关联。结论自我调节能力差、爱生气是乳腺增生症的危险因素。
目的：探討和篩選齣哪些常見的心理、精神因素是乳腺增生癥的危險因素，為乳腺增生癥的一級預防提供科學依據，同時為該病的病因學研究提供參攷。方法將2010－01－01～2011－12－31間在秦皇島市第一醫院、秦皇島市婦幼醫院、海港醫院體檢和乳腺門診確診的新髮乳腺增生癥患者選為病例組；乳腺癥狀、體徵及影像學檢查均為陰性者選為對照組。提前培訓好調查人員，統一標準，對被調查者進行調查。主要內容包括：一般特徵、心理、精神因素、孕產情況、月經史等。所穫得的全部資料數據由兩人分彆重複輸入電腦，建立數據庫，校驗正確後，運用SPSS11.6軟件對各變量進行單因素分析，算齣卡方值，繼而引入多因素模型進行分析，計算OR值，估計OR值的95％可信區間，計算P值。同時分析乳腺增生癥與各因素的關聯彊度。結果單因素分析：自我調節能力（χ2＝8.79，P＝0.01），容易生氣（χ2＝6.43，P＝0.04），婚姻生活不和諧（χ2＝5.54，P＝0.02），精神創傷（χ2＝5.25，P＝0.02），人際關繫（χ2＝6.70，P＝0.02）與乳腺增生癥有關聯。結論自我調節能力差、愛生氣是乳腺增生癥的危險因素。
목적：탐토화사선출나사상견적심리、정신인소시유선증생증적위험인소，위유선증생증적일급예방제공과학의거，동시위해병적병인학연구제공삼고。방법장2010－01－01～2011－12－31간재진황도시제일의원、진황도시부유의원、해항의원체검화유선문진학진적신발유선증생증환자선위병례조；유선증상、체정급영상학검사균위음성자선위대조조。제전배훈호조사인원，통일표준，대피조사자진행조사。주요내용포괄：일반특정、심리、정신인소、잉산정황、월경사등。소획득적전부자료수거유량인분별중복수입전뇌，건립수거고，교험정학후，운용SPSS11.6연건대각변량진행단인소분석，산출잡방치，계이인입다인소모형진행분석，계산OR치，고계OR치적95％가신구간，계산P치。동시분석유선증생증여각인소적관련강도。결과단인소분석：자아조절능력（χ2＝8.79，P＝0.01），용역생기（χ2＝6.43，P＝0.04），혼인생활불화해（χ2＝5.54，P＝0.02），정신창상（χ2＝5.25，P＝0.02），인제관계（χ2＝6.70，P＝0.02）여유선증생증유관련。결론자아조절능력차、애생기시유선증생증적위험인소。
Objective To explore which psychological factors are the major risk factors of cyclomastopathy and provide theory founda -tion for studying the etiology and primary prevention of hyperplasia of mammary gland.Methods A hospital based case -control study was carried out on patients diagnosed as cyclomastopathy in accord with breast surgery and medical examination center were taken as the case group from January, 1st, 2010 to December, 31st, 2011 in Qinhuangdao City First Hospital, Qinhuangdao City Women and Children Hos-pital, and Harbour Hospital , and people whose cyclomstopathy , physical sign and imaging examination were negative were regarded as the control group.The self-designed questionnaire were used to collect the information by professional staff on general character , psychological factors, menses and production factor and so on.Two persons built Excel database one by one repeatedly after the collection of all informa -tion.Through using SPSS11.6, each variable was analyzed with single factor to calculate χ2 and P value.The OR value of the factors with significant statistic correlation were adjusted using multi -variable logistic regression model , and then the value of odds ratio ( OR) and 95%confidence interval (95%CI) were calculated.Results Single factor analysis showed that self -regulatory capability (χ2 =8.79, P=0.01 ) , irritability (χ2 =6.43 , P=0.04 ) , martial discord (χ2 =5.54 , P=0.02 ) , mental suffering (χ2 =5.25 , P=0.02 ) , poor hu-man relationship (χ2 =6.70 ,P=0.02 ) were associated with cyclomastopathy.Conclusion Poor self-regulatory capability and irritability are risk factors of cyclomastopathy.
