鼻部症状对变应性鼻炎患者精神心理的影响

吕晓飞; 锡琳; 张罗; 韩德民

doi:10.13201/j.issn.1001-1781.2015.03.007

鼻部症状对变应性鼻炎患者精神心理的影响

- 1 首都医科大学附属北京友谊医院耳鼻咽喉头颈外科(北京, 100050);
- 2 耳鼻咽喉科重点实验室(教育部) 北京市耳鼻咽喉科研究所
基金项目:
国家自然科学基金杰出青年科学基金(No:81025007)

重点国际合作研究项目(No:81420108009)

国家自然科学青年基金项目(No:81000405)

北京市自然基金(No:7102030)

北京市教委科技计划重点项目(No:KZ200910025008

20110025027)

详细信息

通讯作者: 张罗,E-mail:dr.luozhang@139.com

中图分类号: R765.21

收稿日期: 2014-07-23

Effects of nasal symptoms on the psychological statuses of adults with moderate-to-severe persistent allergic rhinitis

- 1 Department of Otorhinolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China;
- 2 Key Laboratory of Otolaryngology Head and Neck Surgery, Ministry of Education, Beijing Institute of Otolaryngology

More Information

Corresponding author: ZHANG Luo, E-mail: dr.luozhang@139.com

Received Date: 23 July 2014

摘要

摘要: 目的:探讨成人中重度持续性变应性鼻炎(AR)患者在鼻炎发作期的精神心理状态,以及鼻部症状对其精神心理状态的影响。方法:采用症状自评量表(symptom checklist 90,SCL-90)对539例中重度持续性AR患者的精神心理状况进行分析,SCL-90的各因子得分与中国成人正常值即全国常模比较,并统计分析鼻部症状对成人患者的精神心理状态的影响。结果:中重度持续性AR患者的SCL-90得分在躯体化、抑郁、焦虑和敌对4个症状的因子分都明显高于全国常模。男女患者和各年龄组之间各因子分无显著性差异。病程越长躯体化和强迫症状越明显。鼻塞对于躯体化、强迫、人际关系敏感、抑郁、精神病性5个症状具有显著影响;鼻痒对躯体化、抑郁、焦虑3个症状具有显著影响。结论:在鼻炎发作期,中重度持续性AR成人患者的精神心理状态明显比正常中国成人差。鼻塞、鼻痒等鼻部症状明显影响成人中重度持续性AR患者的精神心理状态。临床医生对患者精神心理问题的重视和妥善处理、适当干预将是AR治疗的新趋势。
- 鼻炎 /
- 变应性 /
- 鼻部症状 /
- 精神心理 /
- 成人
Abstract: Objective: To investigate the psychological statuses of Chinese adults with moderate-to-severe persistent allergic rhinitis, and evaluate the effects of nasal symptoms on their psychological statuseses.Method: The Symptom Checklist-90 (SCL-90) or self-reporting Inventory was employed to analyze the psychological statuses of 539 adults with moderate-to-severe persistent allergic rhinitis.Result: The SCL-90 scores of the adults with moderate-to-severe persistent allergic rhinitis were statistically higher than those of non-allergic adults in terms of somatization, depression, anxiety and hostility. No statistical discrepancies existed in gender or age. The course of disease contributed to somatization and compulsion. The effects of nasal symptoms included two aspects: nasal obstruction had a conspicuous impact on somatization, compulsion, interpersonal sensitivity, depression, anxiety and psychosis, while nasal itching contributed to somatization, depression and anxiety. Conclusion: The psychological statuses of adults with moderate-to-severe persistent allergic rhinitis is evidently worse than that of non-allergic adults. Symptoms such as nasal obstruction and itching had an obvious impact on outpatients' psychological statuses.
- rhinitis allergic /
- nasal symptom /
- psychological status /
- adult /

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参考文献(14)

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