摘要
目的研究慢性鼻窦炎伴或不伴鼻中隔偏曲患者的精神心理状况,以期为临床诊疗提供帮助。方法收集2018年6-7月该院耳鼻咽喉头颈外科就诊的、符合研究标准的102例慢性鼻窦炎患者的临床资料及心理学调查问卷,完成90项症状自评量表及统计分析。将120例患者按是否伴鼻中隔偏曲分为偏曲组(44例)和无偏曲组(58例);按男性年龄大于或等于60岁,女性年龄大于或等于55岁分为老年组(24例);男性小于60岁,女性小于55岁分为中青年组(78例)。结果 102例鼻窦炎患者量表总均分明显高于国家常模,差异有统计学意义(P<0.05);偏曲组患者人际关系敏感因子、敌对因子、偏执因子、总均分、人际关系敏感因子轻度损害比例、偏执因子轻度损害比例均明显高于无偏曲组,老年组强迫症状因子、人际关系敏感因子均明显高于中青年组,差异均有统计学意义(P<0.05)。结论慢性鼻窦炎可能引起精神心理障碍;伴鼻中隔偏曲可能在人际关系敏感、敌对、偏执等方面产生心理损害,在临床诊疗时应引起重视。
Objective To investigate the psychosocial status in the patients with chronic sinusitis complicating or non-complicating nasal septum deviation in order to provide help for clinical diagnosis and treatment. Methods The clinical data and psychosocial questionnaire investigation in 102 cases of chronic sinusitis conforming to the study criteria in the otorhinolaryngology head & neck surgery department of this hospital from June to July 2018 were collected.The 90 item symptom self assessment scale and statistical analysis were completed.One hundred and twenty cases were divided into the deviation group ( n =44) and non-deviation group ( n =58) according to whether having the nasal septum deviation;which were divided into the elderly group ( n =24) and young and middle aged group ( n =78) according to male ≥ 60 years old and female ≥ 55 years old. Results The total mean score of the scale in 102 patients with sinusitis was significantly higher than that of the national norm,and the difference was statistically significant ( P <0.05).The interpersonal sensitivity factor,hostility factor,paranoid factor,total average score,proportion of mild damage in interpersonal sensitivity factor and paranoid factor in the deviation group were higher than those in the non-deviation group;the factors of obsessive-compulsive symptoms and interpersonal sensitivity in the elderly group were significantly higher than those in the young and middle-aged group,the differences were statistically significant ( P <0.05). Conclusion Chronic sinusitis may cause mental disorders;complicating nasal septum deviation may cause psychological damage in the aspects of sensitive interpersonal relationships,hostility,paranoia and so on,which should be paid attention to in clinical diagnosis and treatment.
作者
王德平
肖洪丽
骆文龙
WANG Deping;XIAO Hongli;LUO Wenlong(Department of Otorhinolaryngology-Head & Neck Surgery,Second Affiliated Hospital ofChongqing Medical University,Chongqing 400010,China)
出处
《现代医药卫生》
2019年第10期1464-1467,共4页
Journal of Modern Medicine & Health
基金
重庆市科委社会民生类重点项目(cstc2018jscx-mszdX0040)
关键词
慢性病
鼻窦炎
鼻中隔/畸形
精神卫生
抑郁
问卷调查
Chronic disease
Sinusitis
Nasal septum/abnormalities
Mental health
Depression
Questionnaires
