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[目的]探讨胃溃疡患者的人格特征、情绪问题及其与溃疡病理变化的关系。[方法]对68例胃溃疡患者和68例对照组进行HAMD、HAMA、TAS、EPQ、SS、LES等量表评定,并观察溃疡面积及相关因素进行分析。[结果]①胃溃疡组HAMA(t=4.53,P﹤0.01)、HAMD(t=8.5,P﹤0.01)、述情量TAS(t=5.16,P﹤0.01)、EPQ以及LES得分高于正常组,差异具有统计学意义(P﹤0.05);②SS得分在两组之间差异未见统计学意义(t=1.020,P﹥0.05);③幽门螺旋杆菌(Hp)感染阴性的胃溃疡患者其溃疡面积与HAMA得分及TAS得分呈正相关(r=0.74,P﹤0.01;r=0.45,P﹤0.05)。[结论]胃溃疡与情绪、人格因素密切相关。
[Objective] To investigate the personality traits and emotional problems of patients with gastric ulcer and its relationship with the pathological changes of ulcers. [Methods] 68 patients with gastric ulcer and 68 control group were evaluated by HAMD, HAMA, TAS, EPQ, SS, LES and other factors, and ulcer area and related factors were analyzed. [Results] ① Gastric ulcer patients had higher HAMA (t = 4.53, P <0.01), HAMD (t = 8.5, P <0.01), TAS (t = 5.16, (P <0.05); ② There was no significant difference between the two groups in the score of SS (t = 1.020, P> 0.05); ③The patients with H.pylori-negative gastric ulcer The ulcer area was positively correlated with HAMA score and TAS score (r = 0.74, P <0.01; r = 0.45, P <0.05). [Conclusion] Gastric ulcer is closely related to emotional and personality factors.