精神心理障碍对功能性消化不良患者胃功能和生活质量的影响

Effects of Psychological Disorder on the Gastric Function and Quality of Life of Patients with Functional Dyspepsia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(2)
作者
作者单位

黄梅县人民医院胃镜室 ;
湖北省人民医院 ;

摘要
【摘要】 研究精神心理障碍对功能性消化不良患者的胃功能与生活质量的影响。方法 从我院于2014年10月至2016年12月消化内科就诊患者中,选取58例精神心理障碍患者为研究组,58例无精神障碍患者为常规组,详细观察比较两组患者生活质量评分(包括情感职能、活力、生理功能、生理职能、社会功能、躯体疼痛、精神健康、总体健康等)、餐前后胃电图、水负荷试验及SPECT胃排空实验等情况。结果 常规组患者各项生活质量评分均明显优于研究组(P<0.05);餐前餐后胃电图比较,研究组患者正常节律百分比明显比常规组低(P<0.05),研究组胃动过缓率与主频不稳定系数显著比常规组高(P<0.05);水负荷试验与SPECT胃排空实验比较,常规组患者初始感觉量与最大耐受量明显比研究组更高(P<0.05),而研究组胃排空时间明显长于常规组,差异有统计学意义(P<0.05)。结论 功能性消化不良与精神心理障碍密切相关,可直接对患者生活质量与胃功能造成一定不良影响。
Abstract
Abstract Objective To study the effects of psychological disorder on the gastric function and quality of life of patients with dyspepsia. Methods For research group, 58 cases of patients with psychological disorder were selected from those admitted by the digestive system department of our hospital since October 2014 to December 2016, and other 58 cases of patients without psychological disorder were selected as regular group. Via careful observation, two groups of patients were compared for their scoring of quality of life, (including role emotion, viability, physiological function, role physical, society function, bodily pain, mental health, general health, et. al.), electrogastrogram before and after meal, water load test and SPECT gastric emptying test and other situation. Results In the case of various scoring of quality of life, patients in regular group were dramatically better than patients in research group, and the difference was statistically significant (P<0.05). For the comparison of electrogastrogram before and after meal, the normal rhythm percentage of patients in research group was obviously lower than that of regular group (P<0.05). The bradygastria rate and instability index of dominant frequency of research group were significantly higher than those of regular group (P<0.05). For the comparison between water load test and SPECT gastric emptying test, the initial sensation quantity and maximum tolerance dose of patients in regular group were dramatically higher than those in research group, and the difference was statistically significant (P<0.05). Conclusion The functional dyspepsia is closely related to psychological disorder, having side effects on quality of life and gastric motility function of patients to some extent.
关键词
【关键词】精神心理障碍;功能性消化不良;胃功能;生活质量
KeyWord
Key words psychological disorder, functional dyspepsia, gastric function, quality of life
基金项目
页码 287-289
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陈世雄*, 黄仑峰, 周莉,石明. 精神心理障碍对功能性消化不良患者胃功能和生活质量的影响 [J]. 国际精神病学杂志. 2017; 44; (2). 287 - 289.

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