摘要
目的探讨咽异感症患者发病与精神焦虑和抑郁症状的相关性,分析咽异感症男、女患者之间量表评分差异以及不同病程患者间量表评分的差异。方法选择50例咽异感症患者为研究组,健康体检者40例为对照组。分别用焦虑自评量表(self-rating anxiety scale,SAS)、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、抑郁自评量表(self-rating depression scale,SDS)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)进行症状量化评分检查,将两组量表得分进行比较。按性别以及患病时间进行分组,组间量表得分进行比较。结果 研究组量表评分均高于对照组,研究组SAS总分、HAMA平均秩次、SDS总分、HAMD平均秩次分别为47.5±12.7、65.28、48.2±9.5、58.09;对照组相应量表评分分别为31.6±4.6、20.78、32.7±4.6、29.76,差异均具有显著性(P均<0.05)。不同性别咽异感症之间量表评分差异无统计学意义(P均>0.05)。按患病时间不同分组,病程5年以下组与病程5～10年组、病程10年以上组SAS、HAMA、SDS、HAMD总分差异均有统计学意义(P均<0.05)。结论咽异感症患者中精神焦虑及抑郁症状发生率较健康者高,应重视患者的心理情况,尤其是病程较久的患者中精神焦虑及抑郁症状发生更严重;咽异感症患者焦虑、抑郁症状评分结果 与性别无关。
OBJECTIVE To investigate the correlation among anxiety,depression and pharyngeal paraesthesia and to analyze the difference of psychological questionnaire scores in different gender and various course of patients.METHODS Fifty patients with pharyngeal paraesthesia（study group） and forty normal controls（control group） were surveyed by using four psychological questionnaires：self-rating anxiety scale（SAS）,Hamilton anxiety scale（HAMA）,self-rating depression scale（SDS）,Hamilton depression scale（HAMD）.The psychological questionnaire scores were compared and analyzed between study group and control group,and among different groups divided by gender and clinic course.RESULTS The scores of SAS,HAMA,SDS,HAMD in study group were higher than those in control group.The index score of SAS and SDS were 47.5±12.7,48.2±9.5 in study group and 31.6 ±4.6,32.7±4.6 in control group.The mean rank of HAMA and HAMD were 65.28,58.09 in study group and 20.78,29.76 in control group.The differences were statistically significant（all P0.05）.The scores of SAS,HAMA,SDS,HAMD showed no statistically differences between male group and female group（all P0.05）.The scores of four questionnaires mentioned above were different among different groups divided by clinic course.Further analysis showed that the scores of SAS,HAMA,SDS,HAMD in group A（with the course of less than 5 years）were higher than the scores in group B（with the course of 5-10 years）and group C（with the course of more than 10 years）.The differences were statistically significant（all P0.05）.CONCLUSION Pharyngeal paraesthesia patients had more anxiety and depression symptoms than healthy persons.It should be considered about psychological health in pharyngeal paraesthesia patients,especially in those with long clinic course.However,we found no significant difference between different gender patients.
出处
《中国耳鼻咽喉头颈外科》
北大核心
2010年第6期314-317,共4页
Chinese Archives of Otolaryngology-Head and Neck Surgery
关键词
咽疾病
心理学试验
焦虑
抑郁
咽异感症
Pharyngeal Diseases
Psychological Tests
Anxiety
Depression
pharyngeal paraesthesia
