摘要
目的 探讨功能性消化不良 (FD)与心理因素及自主神经功能之间的关系。方法 分别对 2 0例健康人和 2 0例FD患者进行汉密尔顿抑郁量表 (HAMD)、汉密尔顿焦虑量表 (HAMA)和症状自评量表 (SCL -90 )评分 ,并对以上对象进行深呼吸心率差试验、立卧位心率差试验、起立血压反应试验。结果 FD患者与正常人的三种量表 (HAMD、HAMA、SCL -90 )评分相比 ,FD患者的精神 (偏执除外 )、躯体症状与正常人存在显著差异 (P <0 .0 1) ;FD患者与正常人的深呼吸心率差试验和立卧位心率差试验结果差异显著 (P <0 .0 1) ;而起立血压反应试验结果无显著差异。结论 FD与心理因素相关 ,FD患者普遍存在抑郁焦虑情绪 ,表现在精神和躯体两方面的症状 。
Aim To study the relationship between functional dyspepsia(FD) and psychological factors,function of autonomic nerve.Methods Twenty healthy individuals and twenty patients with FD were graded respectively by Hamilton Depression(HAMD),Hamilton Anxiety(HAMA) and SCL-90 scales, and tested for differences of heart rates in breathing deeply(DHRB),differences of heart rates (DHRS) and differences of blood pressures (DBP)in both supine and standing positions. Results There were significant differences in somatic(except crankiness) and psychological scores in HAMD,HAMA and SCL-90 scales between the two groups( P <0 01).The DHRB and DHRS showed there was significant difference between healthy individuals and PFD( P <0 01), but there was no significant difference in DBP between the two groups. Conclusions 1? FD is relevant to psychological factors, furthermore, there are prevalent emotions of depression and anxiety in PFD, which is showed by symptoms of spirit and physical. 2?There is autonomic nerve, especially vagus nerve dysfunction in FD.
出处
《胃肠病学和肝病学杂志》
CAS
2002年第4期346-348,共3页
Chinese Journal of Gastroenterology and Hepatology
关键词
功能性消化不良
心理因素
自主神经
Functional dyspepsia Psychological factor Autonomic nerve
