摘要
目的 探讨功能性便秘对患者情绪和睡眠状况的影响.方法 选取2012年1月～2013年1月来本院进行治疗的功能性便秘患者245例,对所有患者行罗马Ⅲ功能性胃肠病心理社会报警问卷调查,调查患者的情绪与睡眠情况.分析患者情绪和睡眠状况与便秘的关系,同时对患者进行随机分组,分为实验组和对照组,对照组仅给予常规通便药物治疗,实验组给予调整情绪＋改善睡眠状况＋通便药物治疗,观察两组的治疗效果.结果 245例患者中,58.0％（142/245）的患者近期感到情绪紧张,59.2％（145/245）的患者近期感到情绪沮丧或低落,50.2％（123/245）的患者同时存在以上两种情绪；33.1％（81/245）的患者经常感到情绪紧张,30.2％ （74/245）的患者经常感到情绪沮丧或低落.54.7％（134/245）的患者认为便秘与情绪有关,39.6％（97/245）的患者认为便秘与睡眠有关.便秘病程长于情绪异常者占69.8％（67/96）,便秘先于睡眠障碍者占68.2％（86/126）.治疗后,实验组患者每周排便次数增加（1.7±0.4）次,对照组增加（1.2±0.3）次,两组比较差异有统计学意义（P＜0.05）.结论 功能性便秘患者常合并情绪异常及睡眠障碍,通过心理干预综合治疗,可显著改善患者的情绪及睡眠状况,有利于提高功能性便秘的疗效,值得临床推广应用.
Objective To investigate the impact of mood and sleep in patients with functional constipation.Methods 245 cases of patients with functional constipation for treatment in our hospital from January 2012 to January 2013 were selected,all patients were given Rome Ⅲ functional gastrointestinal disorders psychosocial alarm survey to inves- tigate mood and sleep of patients.The relationship between mood and sleep in patients with functional constipation was analysed,and patients were randomly divided into experimental group and control group,control group was only re- ceived conventional laxative medication,experimental group was given regulating mood,improving sleep and laxative medication treatment,the effect of both groups was observed.Results 58.0% （142/245） of patients felt emotional stress recently,59.2% （145/245） of patients felt emotional depression or low recently,50.2% （123/245） of patients felt both two emotions;33.1% （81/245） of patients often felt emotional stress,30.2% （74/245） of patients often felt depressed or flustrated.54.7% （134/245） of patients with constipation and mood,39.6% （97/245） of patients with constipation and sleep. Constipation prior to the duration of mood disorders accounted for 69.8% （67/96）,constipation prior to the sleep disor- der accounted for 68.2% （86/126）.Number of bowel movements of experimental group increased （1.7±0.4） every week, and control group increased （1.2±0.3） every week,there was significant difference （P〈0.05）.Conclusion Patients with functional constipation is often associated with mood disorders and sleep disorders,comprehensive treatment of psycho-logical intervention can significantly improve mood and sleep of patients.It is helpful to improve the efficacy of functional constipation and it is worthy of clinical application.
出处
《中国当代医药》
2013年第26期29-30,共2页
China Modern Medicine
关键词
功能性便秘
情绪
睡眠状况
生活质量
Functional constipation
Emotions
Sleep condition
Quality of life
