| 赵访访,陈玉根,冯泽宇,等.克罗恩病肛瘘病人焦虑抑郁发病现状及影响因素分析[J].安徽医药,2022,26(12):2429-2433. |
| 克罗恩病肛瘘病人焦虑抑郁发病现状及影响因素分析 |
| Analysis of the current situation and factors influencing the onset of anxiety and depression in perianal fistulizing Crohn's disease patients |
| |
| DOI：10.3969/j.issn.1009-6469.2022.12.021 |
| 中文关键词: Crohn病 直肠瘘 焦虑 抑郁 影响因素 |
| 英文关键词: Crohn's disease Rectal fistula Anxiety Depression Influencing factor |
| 基金项目: |
|
| 摘要点击次数: 945 |
| 全文下载次数: 279 |
| 中文摘要: |
| 目的调查克罗恩病肛瘘( PFCD)病人的焦虑抑郁发病现状，对其发病的影响因素进行分析，从而为临床身心指导提供理论支撑。方法选取 2020年 9月至 2021年 7月南京中医药大学附属医院肛肠外科住院部就诊的 PFCD病人 197例，收集病人一般资料及临床表现，采用广泛性焦虑障碍量表( GAD-7)、抑郁症筛查量表( PHQ-9)对病人精神进行评估。结果在 197例 PFCD病人中，有 66例( 33.50%)出现焦虑状态， 81例( 41.12%)出现抑郁状态。合并并发症［ OR=2.25，95%CI:(1.20，4.25)］、肛周手术次数 ≥2次［ OR=2.15，95%CI:(1.17，3.96)］是 PFCD病人出现抑郁状态的危险因素；合并并发症［ OR=2.27，95%CI: |
| 英文摘要: |
| Objective To investigate the current status of anxiety and depression onset in patients with perianal fistulizingCrohn's disease (PFCD) and to analyze its influencing factors to provide theoretical support for clinical physical and mental guidance.Methods A total of 197 patients with PFCD in the inpatient department of the Department of Jiangsu Traditional Chinese MedicineHospital were selected. The general data and clinical manifestations of the patients from September 2020 to July 2021 were collected,their general data and clinical manifestations were collected, and their psychiatric assessment was performed using the GeneralizedAnxiety Disorder Scale (GAD-7) and the Depression Screening Inventory (PHQ-9).Results Among 197 patients with PFCD, 66 (33.50%) presented with anxiety status and 81 (41.12%) with depression status. Comorbidity [OR=2.25, 95%CI:(1.20, 4.25)] and the number of perianal surgeries ≥ 2 times [OR=2.15, 95%CI:(1.17, 3.96)] were risk factors for depressive state in PFCD patients; comor. bidity [OR=2.27, 95%CI:(1.19, 4.34)] and disease activity [OR=2.58, 95%CI:(1.04, 6.42)] were risk factors for the development of anxiety in PFCD patients.Conclusions Patients with CD combined with perianal fistula have a high incidence, long duration anddifficult treatment. Patients often have emotional stress due to systemic conditions and perianal fistula, and attention should be givento patients' mental health while treating the disease clinically. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
