心理因素与非溃疡性消化不良的关系探讨

目的研究精神、心理因素对非溃疡性消化不良患者的影响．探讨治疗措施。方法采用明尼苏达多相人格测查问卷中国版本对40例非溃疡性消化不良患者和21例健康对照组进行调查分析。结果非溃疡性消化不良患者明尼苏达多相人格测查问卷异常率（72．5％）显著高于健康对照组（4．8％），差异有极显著性（P〈0.001）；各临床分量表均分均显著高于对照组（P〈0.001），以疑病、癔病分量表分高为显著。结论非溃疡性消化不良的发病与心理因素有关．对其应采取个体化治疗原则，在给予患者合理的药物治疗的基础上应积极开展心理治疗。

Study on the relation between psychological factors and non-ulcer dyspepsia

Objective To investigate the influence of mental factors on non-ulcer dyspepsia(NUD) and explore the therapeutic measure. Methods 40 patients with NUD and 21 healthy persons as control group were investigated with Minnesota multiphasic personality inventory(MMPI)-Chinese edition. Results The abnormal rate of MMPI in patients with NUD was 72.5%, which had significant difference with the control group. The scores of clinical sub-scales of NUD patients were obviously higher than those of control group, the scores of hypochondriasis and hysteria were predominant high. Conclusion NUD is relation with psychological factors, should be taken individual treatment, and given active mental therapy on basis of reasonable drug treatment.