摘要
目的了解陆军汽车兵功能性消化不良(FD)与心理应激的关系,并探索防治措施。方法以陆军汽车兵4.5个月军事训练为背景,采用FD症状量表、胃镜检查,了解187名汽车兵FD发病状况,并运用SCL-90问卷调查进行心理相关分析。对确诊为FD患者87人随机分2个组,治疗组给予心理干预及对症治疗,对照组只给予对症治疗,1年后进行随访。结果汽车兵FD发病率为46.5%(87/187),SCL-90≥160组FD发生率为78.8%(78/99),显著高于SCL-90<160组的10.2%(9/88)(P<0.01)。FD患者SCL-90积分为170.20±42.26,与无症状组的137.90±36.56比较,差异亦显著(P<0.01)。FD症状积分与SCL-90积分呈明显的直线正相关(r=0.77,P<0.01)。FD患者SCL-90各因子分、总分均显著地高于中国常模;除偏执、敌对因子均分外,其余各项因子均分均高于军人常模。1年后2组FD症状积分及SCL-90各因子分均较1年前有明显减少,而治疗组明显优于对照组,说明加用心理干预较单纯的药物对症治疗效果要好。结论心理应激可能引发或加重FD,适当的心理干预对于防治军队FD有积极作用。
Objective To study the relationships of functional dyspepsia （FD） and psychological stress in training army drivers, and the measures of prevention. Methods After 4.5 months of military training, FD incidence of 187 drivers was analyzed by FD symptom scales and gastmscopy. And psychological state was assessed with SCL-90 questionnaire. The FD patients（ n = 87） were divided into two groups： treated group adopted mental intervention and symptomatic treatment, control group adopted only symptomatic treatment, both of them were followed-up after one year. Results FD incidence was 46.5% in training drivers. FD was detected in 78.8% （78/99） of the drivers when SCL-90 scores ≥ 160,which was higher than drivers when SCL-90 scores 〈 160[ 10.2% （9/88）, r = 0.22, P 〈 0.01 ]. SCL-90 score in FD group was higher than that in no symptom group （ 170.2± 42.2 vs 137.9 ± 36.6, P 〈 0.01 ）. There is a positive correlation between FD symptom scores and SCL-90 scores（ r = 0.77, P 〈 0.01 ）. The total score and each factor score of SCL-90 in FD group were higher than those of Chinese norm, and also higher than those of the Chinese military norm except paranoid ideation and hostility factor. The follow-up study showed that the symptom integral and factor scores of SCL- 90 in both groups, were obviously decreased, but the treated group was better than control group, indicating that mental intervention combined with symptomatic treatment had more advantage than simple symptomatic treatment. Conclusion Psychological stress may induce or aggravate FD symptoms. Proper mental intervention has an active effect for pervention and treatment of FD in army.
出处
《解放军预防医学杂志》
CAS
2009年第3期180-183,共4页
Journal of Preventive Medicine of Chinese People's Liberation Army
基金
全军中药新药研究重点资助项目课题(No.99083)
关键词
功能性消化不良
心理应激
心理特征
防治
functional dyspepsia
psychological stress
psychological characteristics
prevention and treatment
