老年消化性溃疡患者焦虑和抑郁状态及其与临床特征的相关性分析

Analysis of anxiety and depression status in elderly patients with peptic ulcer and their correlation with clinical characteristics

中文关键词: 老年  消化性溃疡  焦虑  抑郁  临床症状

英文关键词: elderly  peptic ulcer  anxiety  depression  clinical symptom

中文摘要:

      目的 探究老年消化性溃疡患者焦虑和抑郁心理状态,并分析其与临床特征的相关性.方法 回顾性选取2022年1月—2024年12月期间于鄂尔多斯中心医院康巴什部体检的200名老年人的临床资料,根据是否确诊为消化性溃疡分为观察组(n=100,确诊为消化性溃疡)和对照组(n=100,无消化性溃疡).比较2组精神心理状态,采用焦虑自评量表(SAS)和抑郁自评量表(SDS).依据SAS评分将观察组患者分为未焦虑亚组(SAS＜50分)和焦虑亚组(SAS≥50分);依据SDS评分将观察组患者分为未抑郁亚组(SDS＜53分)和抑郁亚组(SDS≥53分).比较各亚组患者腹痛、反酸、嗳气、恶心呕吐等临床评分差异,采用Pearson相关性方法分析SAS、SDS量表得分与各临床症状评分之间的相关性.结果 与对照组比较,观察组焦虑和抑郁的患者数占比更高;焦虑亚组/抑郁亚组患者腹痛、反酸、嗳气、恶心呕吐、便血等症状评分均高于未焦虑亚组/未抑郁亚组,差异均有统计学意义(P＜0.05).Pearson相关分析显示,SAS量表得分/SDS量表得分与腹痛、反酸、嗳气、恶心呕吐、便血等临床症状评分均呈正相关(均P＜0.05).结论 老年消化性溃疡患者群体中焦虑、抑郁等精神心理问题发生率可能较高,且此类问题与患者临床症状密切相关,临床治疗需兼顾患者临床症状与心理问题以改善其预后.

英文摘要:

      Objective To explore the psychological states of anxiety and depression in elderly patients with peptic ulcer and analyze their correlation with clinical characteristics.Methods The clinical data of 200 elderly people who underwent physical examinations in Kangbashi Department of Ordos Central Hospital from January 2022 to December 2024 were retrospec-tively collected.According to whether they were diagnosed with peptic ulcer,they were divided into observation group(n=100,diagnosed with peptic ulcer)and control group(n=100,without peptic ulcer).The psychological state of patients was e-valuated by Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS).According to the SAS score,the pa-tients in the observation group were divided into non-anxiety subgroup(SAS＜50 points)and anxiety subgroup(SAS ≥ 50 points).According to the SDS score,the patients in the observation group were divided into non-depression subgroup(SDS＜53 points)and depression subgroup(SDS≥ 53 points).The differences in scores of clinical symptoms such as abdominal pain,acid reflux,belching,nausea and vomiting were compared among the four subgroups.The Pearson correlation method was used to analyze the correlation between the scores of the SAS and SDS and the scores of various clinical symptoms.Results Com-pared with the control group,the proportion of patients with anxiety and depression in the observation group was higher(P＜0.05).The symptom scores of abdominal pain,acid reflux,belching,nausea and vomiting,and hematochezia in the anxiety subgroup/depression subgroup were all higher than those in the non-anxiety subgroup/non-depression subgroup,and the differences were statistically significant(P＜0.05).Pearson correlation analysis showed that the scores of the SAS/SDS were positively correlated with the clinical symptom scores such as abdominal pain,acid reflux,belching,nausea and vomiting,and hematochezia(all P＜0.05).Conclusion The incidence of psychological problems such as anxiety and depression may be rela-tively high in elderly patients with peptic ulcer,and these problems are closely related to their clinical symptoms.Clinical treat-ment needs to take into account both the clinical symptoms and psychological problems of the patients to improve their prognosis.