中国实用外科杂志

中国实用外科杂志

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术后胃瘫综合征病人抑郁焦虑情绪测查及影响因素研究

宋学谦1，马家驰2，李一平2，郭庆金1，陈晓昌1   

  1. 1甘肃省白银市靖远县人民医院普外科，甘肃靖远 730600；2甘肃省人民医院普外科，甘肃兰州 730000
  • 出版日期:2015-05-01 发布日期:2015-04-28

  • Online:2015-05-01 Published:2015-04-28

摘要：

目的    分析术后胃瘫综合征（PGS）病人抑郁、焦虑程度及其影响因素。方法    选取2011年1月至2013年10月甘肃省人民医院普外科和靖远县人民医院普外科上腹部手术后发生PGS的病人62例，采用抑郁自评量表（SDS）和焦虑自评量表（SAS）对病人进行测查，将测得的数据与中国常模进行比较，并回顾病例资料分析其影响因素。结果    PGS病人SDS、SAS评分均高于中国常模组，差异有统计学意义（P<0.01）。62例PGS病人中发生抑郁49例，焦虑53例。单因素分析结果显示，病程>2个月、术后出现腹腔感染、术前存在流出道梗阻及发生并发症是PGS病人发生焦虑、抑郁的影响因素（P<0.01）；logistic多因素回归分析显示，病程>2个月、术后出现腹腔感染、术前流出道梗阻及发生并发症是PGS病人抑郁、焦虑的独立影响因素（P<0.05）。结论    PGS病人存在明显的抑郁和焦虑情绪，病程>2个月、术后腹腔感染、术前流出道梗阻以及发生并发症是其独立影响因素；建议在治疗PGS病人时采取心理干预，促进病人早日康复。

关键词: 术后胃瘫综合征, 抑郁, 焦虑, 影响因素

Abstract:

The quantification and assessment of the depressive and anxious emotion of patients with postoperative gastroparesis syndrome        SONG Xue-qian*，MA Jia-chi，LI Yi-ping，et al. *Department of General Surgery，the People’s Hospital of Jingyuan County，Jingyuan730600，China
Corresponding author：MA Jia-chi，E-mail：tsmjc@hotmail.com
Abstract    Objective    To investigate the stage-situation of depression and anxiety as well as independent influential factors of the patients with postsurgical gastroparesis syndrome（PGS）.  Methods    Sixty-two patients with PGS admitted from January 2011 to October 2013 in Department of General Surgery, Gansu Provincial Hospital and the People’s Hospital of Jingyuan County were selected randomly. The self-rating depression scale (SDS) and self-rating anxiety scale (SAS) were used to test the patients and the obtained scores were compared with Chinese norms. The influential factors were analyzed retrospectively. Results    The mean values of SDS and SAS of patients with PGS were significantly higher than Chinese normal group respectively(P<0.01). The multivariate logistic regression analysis indicated that the independent influential factors of depression and anxiety in patients with PGS included course of disease>2 months，postoperative abdominal infection，preoperative outflow tract obstruction and complication (P<0.05).  Conclusion    The depression and anxiety emotion is very evident in the patients with PGS. The course of disease, postoperative abdominal infection, preoperative outflow tract obstruction and complication were the independent influential factors for patients of PGS.  Therefore, it is necessary to take psychological intervention during treatment of PGS in order to promote the patients’ recovery.

Key words: postoperative gastroparesis syndrome, depression, anxiety, influential factor