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阿孜古丽· 阿力木江 买买提· 依斯热依力 王婧 阿巴伯克力· 乌斯曼 陆萍 克力木· 阿不都热依木 《中华胃食管反流病电子杂志》2022,9(2):90-94
目的探讨产后不同程度的抑郁症状与胃食管反流病的相关性。 方法自2018年8月至2019年3月在新疆维吾尔自治区人民医院妇产科门诊行产前检查,经住院分娩的初产妇82例设定为研究组。要求所有孕产妇均于产后2~8周进行焦虑自评量表(SAS)、抑郁自评量表(SDS)、爱丁堡产后抑郁自测量表(EPDS)以及GERD量表来调查分析产妇抑郁患病率及GERD相关症状的发生频率和严重程度。 结果孕期至产后2~8周的随访调查发现,孕期SDS和SAS问卷调查中出现的轻中重度抑郁焦虑者中,产后抑郁[EPDS(+)]患病率有所增加,这说明孕期有抑郁、焦虑等不良情绪的产妇产后抑郁症发病率相对较高。经SDS评分显示的EPDS(+)总例数21例产妇和EPDS(-)总例数61例产妇进行GERD症状评分分析,发现EPDS(+)组产妇GERD相关症状(反酸、烧心、胸骨后疼及睡眠障碍)的患病率均显著高于EPDS(-)组(P<0.01);产后抑郁(EPDS)评分相关性分析发现,反酸、烧心、胸骨后疼及睡眠障碍等GERD相关症状的发生频率与抑郁的严重程度呈正相关(P<0.01)。 结论产后抑郁症患者GERD患病率较高,且随着抑郁严重程度其患病率逐渐增高。 相似文献
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里提甫江· 买买提艾力 买买提· 依斯热依力 阿巴伯克力· 乌斯曼 穆叶赛· 尼加提 李楠 王萍 克力木· 阿不都热依木 《中华胃食管反流病电子杂志》2020,7(4):202-206
ObjectiveTo analyze the mental abnormalities in patients with gastroesophageal reflux disease (GERD), and to explore the correlation between GERD and mental disorders.
MethodsA total of 40 patients who diagnosed in our hospital from December 2017 to June 2018 were selected, then further divided into non erosive reflux disease (NERD) group and refluxive esophagitis (RE) group according to clinical manifestations, GERD questionnaire score and gastrointestinal endoscopy. Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD) and Pittsburgh sleep quality index (PSQI) were used in two groups.
ResultsAccording to the analysis result of HAMA in the two groups, the anxiety scale of NERD group was significantly higher than that of RE group (P<0.05);HAMD analysis shows that depression scale in NERD group was significantly higher that RE group (P<0.05); PSQI analysis shows that sleep disorder scale in NERD group was significantly higher that RE group (P<0.05); the correlation analysis of GerdQ score showed that anxiety, depression and sleep disorder were positively correlated with the severity of symptoms (P<0.05).
ConclusionThe depression, anxiety and sleep disorder in NERD patients is higher than that in RE group. The scale of anxiety, depression and sleep disorder is helpful to the psychological intervention and the choice of rational drug treatment in GERD patients with mental disorders. 相似文献
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