摘要
目的:研究综合医院神经内科躯体化障碍患者的临床表现特点。方法:对于符合躯体化障碍诊断标准的90例患者,用自编调查表对患者进行一般资料调查,用躯体症状报告单对患者进行躯体症状统计,用抑郁自评量表(SDS)和焦虑自评量表(SAS)评定抑郁和焦虑状态。结果:躯体化障碍患者女性较男性多见,平均病程5年,过去一年就诊次数平均为12次。对医生的诊断和治疗不满意,85.6%的患者表示可疑或不信任。患者临床症状出现频率高的依次是头晕(74.4%)、头痛(71.1%)、睡眠障碍(70.0%)等。症状可以累及多个系统,其中慢性疼痛症状敏感性最高。躯体化障碍与抑郁焦虑障碍有很高的共患率,并且抑郁症状越严重,症状数目越多。结论:躯体化障碍临床症状复杂多样,其中慢性疼痛症状敏感性最高。
Objective：To study the features of clinical manifestation of patients with somatization disorder in neurology department of general hospital. Method：90 patients who met somatization disorder diagnostic standard were assessed with the self-constructed investigation questionnaire,somatoform symptoms inventory,self depression scale （SDS） and self anxiety scale （SAS）. Results： There were more female patients than male.The mean course of disease was 5 years.In the past one year,patients went to see doctors 12 times on average.85.6% of them suspected of or mistrust the diagnosis and treatment of doctors.The most common somatic symptoms were dizziness （74.4%）,headache （71.1%）,and sleep disorder （70.0%）.The symptoms involved in multi-system and chronic pain had the highest sensitivity.Symptoms of anxiety or depression were very common in patients with somatization disorder.The more severe the depression disorder,the more symptom number. Conclusion：There are diverse symptoms in patients with somatization disorder and chronic pain has the highest sensitivity.
出处
《临床精神医学杂志》
2011年第1期40-42,共3页
Journal of Clinical Psychiatry
关键词
躯体化障碍
抑郁障碍
临床特征
somatization disorder
depressive disorder
clinical characteristics
