精神心理因素在原发性胆汁反流性胃炎中的作用初步探讨

目的通过自评量表的评价探讨精神心理因素在原发性胆汁反流性胃炎患者发病中的作用。方法对符合原发性胆汁反流性胃炎(PBRG)诊断的164例患者和72例慢性浅表性胃炎(CSG)患者应用焦虑自评量表(SAS)和抑郁自评量表(SDS)分别进行问卷调查,并根据年龄分为3组:A组小于30岁;B组30~50岁;C组大于50岁。分别比较分析各组评分的特点。结果 A组PBRG患者与CSG患者焦虑和抑郁状态患病率比较有显著性差异(P<0.05),B组和C组PBRG患者与CSG患者焦虑和抑郁状态患病率分别比较无显著性差异(P>0.05),所有PBRG患者与CSG患者焦虑和抑郁状态患病率比较有显著性差异(P<0.05)。结论 PBRG患者较CSG患者焦虑和抑郁状态的发生更高,尤其是年轻PBRG患者较CSG患者焦虑和抑郁状态发生更明显,提示精神心理因素可能是PBRG特别是青年患者发病原因并可能在发病机制中起到一定作用。

To detect the role of psychological factor in primary bile reflux gastritis

Objective To detect the role of psychological factor in primary bile reflux gastritis using self-rating scale.Methods Self-rating depression scale(SDS) and self-rating anxiety scale(SAS) were measured by self-report questionnaire in 164 PBRG patients and 72 CSG patients.All patients were divided into three groups: group A,less than 30 years old;group B, aged between 30～50;group C,more than 50 years old.Results The scale of SAS and SDS of PBRG patients of group A was higher than that of CSG patients.There was significant difference in the scale of SAS and SDS between PBRG patients and CSG patients(P<0.05).But there was not significant difference in the scale of SAS and SDS among the other groups(P>0.05).Conclusion The state of depression and anxiety of PBRG patients was higher than that of CSG patients,which means psychological factor may be one of the pathogenies in PBRG.