[1]徐文红,林征,林琳,等.胃食管反流病相关非心源性胸痛患者临床特点、心理状况及生活质量调查[J].西部中医药,2013,26(05):66-70.
　XU Wenhong,LIN Zheng,LIN Lin,et al.Survey of Characteristics, Psychological Status and Life Quality of Patients with Gastro-esophageal Reflux Disease Related Non-cardiac Chest Pain[J].Western Journal of Traditional Chinese Medicine,2013,26(05):66-70.
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胃食管反流病相关非心源性胸痛患者临床特点、心理状况及生活质量调查
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
26
期数:
2013年05期
页码:
66-70
栏目:
出版日期:
2013-05-15

文章信息/Info

Title:
Survey of Characteristics, Psychological Status and Life Quality of Patients with Gastro-esophageal Reflux Disease Related Non-cardiac Chest Pain
文章编号:
1004-6852(2013)05-0066-05
作者:
徐文红1，林征2，林琳2，王美峰2，张红杰2，宋玉磊3，孙昌仙4
1 甘肃省肿瘤医院，甘肃 兰州 730050；2 南京医科大学第一附属医院；3 南京中医药大学；4 南京医科大学
Author(s):
XU Wenhong1, LIN Zheng2, LIN Lin2, WANG Meifeng2, ZHANG Hongjie2, SONG Yulei3, SUN Changxian4
1 Gansu Cancer Hospital, Lanzhou 730050, China; 2 The First A ffiliated Hospital with Nanjing Medical University;3 Nanjing University of Chinese Medicine; 4 Nanjing Medical University
关键词:
胃食管反流; 非心源性胸痛; 心理学; 生活质量
Keywords:
gastro-esophageal reflux disease (GERD);  non-cardiac chest pain (NCCP);  psychology;  life quality
分类号:
R57
文献标志码:
A
摘要:
目的：探讨胃食管反流病（GERD）非心源性胸痛（NCCP）患者的临床特点,调查 NCCP 患者的食管外症状、精神心理状况及生活质量，为 NCCP 的诊治提供依据。方法：对连续入组的 206 例 GERD 患者进行问卷调查，内容包括一般人口学资料、疼痛部位和疼痛程度评分（VAS）、食管外症状、反流性疾病问卷（RDQ）、焦虑量表（SAS）和抑郁量表(SDS)以及简明健康调查量表（SF-36)；结合胃镜检查、反流症状评分将 GERD 患者分为GERD－NCCP 组和 GERD－非 NCCP 组进行比较。结果：①NCCP 患者中最多见的胸痛部位是胸骨后、剑突下（42.1%）;疼痛程度最明显的是胸骨后放射至后背痛（5.8±1.7）;②NCCP 组患者 RDQ 评分显著高于非 NCCP 组(P＜0.01)，NCCP 组食管外症状发生率为 35.7%，普遍高于非 NCCP 组的 29.1%，咽部异物感、咽喉炎发生率分别为 50.8%、38.8%，50.8%、30.0%，差异有统计学意义(P＜0.05)。③NCCP 组患者焦虑和抑郁评分显著高于中国常模（P＜0.01），亦显著高于非 NCCP 组（P＜0.01）。④NCCP 组 SF-36 量表 8 个维度，除社会功能外，均显著低于中国常模（P＜0.01），组间比较，NCCP 组各项积分均低于非 NCCP 组，其中身体疼痛、生命活力、精神健康 3个维度积分下降更为显著（P＜0.05）。结论：NCCP 患者常伴有心理状态改变和生活质量下降，胸痛的程度、部位以及对疼痛的恐惧均对患者有一定影响。提示对 NCCP 患者的治疗应从心理和生理两方面协同,可全面改善其症状和生活质量。
Abstract:
Objective: To explore the characteristics of patients with gastro-esophageal reflux disease (GERD) related non-cardiac chest pain (NCCP), investigate extraoesophageal symptoms, psychological state and life quality of patients with NCCP and provide evidence for the diagnosis of NCCP. Method: All 206 patients with GERD were investigated with questionnaires; the contents included general information, the locations of pain and visual analogue scale(VAS), extraoesophageal symptom, reflux disease questionnaire(RDQ), self-rating anxiety scale (SAS), self-rating depression scale (SDS) and SF-36; GERD patients were divided into GERD-NCCP group and GERD-no NCCP group combined with gastroscopy, reflux symptom scale. Result: ① The most common locations of chest pain of NCCP patients were behind the sternum and under the xiphoid (42.1%); the most obvious pain was the sternum radiating to the back (5.8±1.7); ② The scale of RDQ in NCCP patients was higher remarkably than that of non NCCP group (P＜0.01), the incidence of extraoesophageal symptoms in NCCP group was 35.7%, higher than 29.1% of non NCCP group, the incidences of pharyngeal foreign body sensation and pharyngolaryngitis were 50.8% and 38.8% in NCCP group, which of non NCCP group were 50.8% and 30.0%, the difference had statistical meaning(P＜0.05). ③Scores of SAS and SDS in NCCP group were higher significantly than domestic norm (P＜0.01), higher than non NCCP group remarkably (P＜0.01). ④ Except social function, eight indexes of SF-36 in NCCP group were remarkably lower than domestic norm (P＜0.01), the scores of all indexes of NCCP group were lower than non NCCP group, the scores of pain, vitality and mental health were decreased significantly (P＜0.05). Conclusion: NCCP patients are likely to present the changes of mental state and life quality, the degree, the location of chest pain and the fear of pain could affect the patients to some extent, which suggests that NCCP patients should be treated from psychology and physiology to fully relieve the symptom and life quality.

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备注/Memo

备注/Memo:
收稿日期：2013-02-10 作者简介：徐文红(1975—)，女，硕士学位，主管护师。研究方向：慢性病的护理管理。
更新日期/Last Update: 2013-05-15