腹泻型肠易激综合征患者的生活质量和心理特征分析

目的探讨腹泻型肠易激综合征（D-IBS）患者的生活质量和心理特征及两者之间的关系。方法在我院门诊连续选取160例D-IBS患者,应用汉化版简明健康调查量表（SF-36）、Zung焦虑自评量表（SAS）和抑郁自评量表（SDS）对其进行评分,分别与国内常模进行比较,并分析生活质量评分与焦虑抑郁评分之间的关系。结果 D-IBS患者SAS和SDS得分比国内常模均明显升高（P〈0.05）,生活质量方面生理功能、心理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康等各个维度分值比国内常模均有明显降低（P〈0.05）。160例患者中78例合并焦虑状态,93例合并抑郁状态,焦虑状态发生率48.8%,抑郁状态发生率58.1%,D-IBS患者SAS和SDS得分比国内常模均明显升高（P〈0.05）。经Pearson相关分析显示：生活质量评分与焦虑抑郁评分之间呈负相关（P〈0.05）。结论 D-IBS患者存在焦虑抑郁心理障碍,生活质量明显受损,焦虑抑郁等不良精神心理因素是影响其生活质量主要因素之一。

Analysis of quality of life and psychological characteristics of diarrhea-predominant irritable bowel syndrome patients

Objective To investigate the quality of life and psychological characteristics of diarrhea-predominant irritable bowel syndrome（D-IBS）patients and their relationship.Methods 160 cases of patients with D-IBS continuously treated in our hospital were selected,the Short Form Health Survey Scale（SF-36）,Zung Anxiety Selfrating Scale（SAS）and Self-rating Depression Scale（SDS）were used to score for the patients,we compared with the domestic norm respectively.Statistical software was used to analyze the relationship between quality of life scores and anxiety or depression scores.Results SAS and SDS scores of patients with D-IBS were significantly higher than the national norm.The dimension scores of physiological functions,physical function,bodily pain,general health,energy,social function,role emotional and mental health,compared with the national norm,were significantly lower.In 160patients 78cases combioned with anxiety states,93cases with depression status.The incidence of anxiety was 48.8%,the incideuce of depression was 58.1%.SAS and SDS scores of patients with D-IBS were significantly higher the nationalnorm.Pearson correlation analysis showed negative correlation between the quality of life scores and anxietydepression scores.Conclusion There are anxiety and depression psychological barriers in patients with D-IBS,and quality of life was significantly impaired.Anxiety,depression and other negative psychological factors are the main factors that affect the quality of life.