【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。更多还原

【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 of539 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.更多还原