中国居民心理因素与肛肠疾病患病率关系

目的 探讨心理因素与肛肠疾病患病的关系。方法 2012年1月-2014年9月以问卷调查和体格检查相结合的方式，调查中国31个省（自治区和直辖市）共68 906人的基本情况、心理状况（平常性情、对生活的满意度、是否感到精神紧张和压力大、是否经历重大挫折）及肛肠疾病患病情况。应用SPSS 17.0进行统计分析。结果 平常性情急躁者肛肠疾病患病率（63.95%）明显高于性情温和（48.63%）及性情一般人群（47.71%）；感到无压力者肛肠疾病患病率较低（46.66%），有压力者患病率较高，其中感到压力很大、很紧张的居民肛肠疾病患病率高达69.25%；对自己的生活（包括人际关系、工作等）满意的居民肛肠疾病患病率较低（47.52%），而对自己生活很不满意和不满意的居民，其肛肠疾病患病率较高，分别为76.62%和67.68%；最近一年经历过重大挫折的居民患病率为70.27%，明显高于未经历过重大挫折者（47.91%）（χ²=1216.09，P<0.001）。结论 心理因素可影响肛肠疾病的发生。

Relationship between psychological factors and prevalence rate of anorectal diseases among Chinese adult residents

Objective To explore the relationship between psychological factors and anorectal diseases among adult residents in China.Methods A questionnaire survey and physical examination were conducted among 68 906 residents of 18 years old or above selected from 31 provinces,municipalities,and autonomous regions with stratified sampling between January 2012 and September 2014.The data on psychological condition (personality,life satisfaction,stress,and significant negative life event)and anorectal disease were collected among the participants and analyzed with SPSS 17.0.Results The residents with irritable temperament had a significantly higher prevalence rate of anorectal diseases (63.95%) than those with mild temperament (48.63%) and normal temperament (47.71%).The residents reporting severe stress had an obviously higher prevalence rate of anorectal diseases (69.25%) than those reporting no perceived stress (46.66%).The residents being satisfied with their life status (including interpersonal relationships and occupation) had a lower anorectal diseases prevalence rate (47.52%) compared to those being dissatisfied (67.68%) and being very dissatisfied (76.62%) to their life status.The residents with the experience of significant negative life event during past one year had a significantly higher prevalence rate of anorectal diseases than those without the experience (70.27% vs.47.91%,χ²=1 216.09;P<0.001).Conclusion Psychological factors could affect the incidence of anorectal diseases in Chinese adult residents.