【摘要】 心理因素可能与功能性消化不良(FD)的发病有关,但FD患者的自主神经功能状态及其与心理因素之间的关系尚不明确。目的:探讨心理因素、自主神经功能以及FD之间的关系。方法:以症状自评量表-90(SCL-90)和24h心率变异性(HRV)分析分别评定22例FD患者和20名健康对照者的心理状态和自主神经功能。结果:FD患者大多数心理因子分均较健康对照者显著升高(P<0.05),而自主神经功能与健康对照者相比无显著差异(P>0.05)。有躯体化障碍或焦虑的FD患者,其自主神经功能状态与无躯体化障碍或焦虑者相比有显著差异(P<0.05)。结论:心理障碍与FD的发生密切相关,自主神经功能障碍可能是两者间的中间环节。更多还原

【Abstract】 Background: Psychologic factors may contribute to the occurrence of functional dyspepsia (FD), but autonomic nervous activity and its relationship with psychologic status in FD patients have not been defined. Aims: To investigate the relationship between psychologic status, autonomic nervous activity and FD. Methods: Symptom checklist-90 (SCL-90) and 24-hour heart rate variability (HRV) analysis were used to evaluate the psychologic status and autonomic nervous activity in 22 FD patients and 20 healthy controls. Results: The scores of most psychologic factors among FD patients were markedly higher than those among the healthy controls (P<0.05). However, no significant statistical difference in autonomic nervous activity was found between the two groups (P>0.05). There had been significant statistical difference in autonomic nervous activity between FD patients with and without somatoform disorder or anxiety (P<0.05). Conclusions: Psychologic distress is closely related with FD, and autonomic nervous dysfunction may be the intermedium between them.更多还原