Study of Depression and Anxiety in Patients with Postoperative Inflammatory Small Bowel Obstruction_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHANGXiao-qiang ¹ ,  MAJia-chi ² , LIYi-ping ² , CHENXiao-chang ³ , GUOQing-jin ³

1. Department of General Surgery, The Second Hospital of Lanzhou, Lanzhou 730046, Gansu Province, China;
2. Department of General Surgery, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China;
3. Graduate School, Ningxia Medical University, Yinchuan 750000, The Ningxia Hui Autonomous Region, China;

Corresponding author：

MAJia-chi, Email: tsmjc2013@163.com

Keywords：

Postoperative inflammatory small bowel obstruction; Depression; Anxiety

DOI：

10.7507/1007-9424.20160277

Video：

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Objective To investigate the situation of depression and anxiety in the patients with postoperative inflammatory small bowel obstruction (PISBO), and to provide the dependent indications for the treatment. Methods The serf-rating depression scale (SDS scale) and self-rating anxiety scale (SAS scale) were used to test the depression and anxiety of 79 patients with PISBO, who treated in the Department of General Surgery of The Second Hospital of Lanzhou from Jan. 2008 to Oct. 2014. Comparison between the scores of SDS scale/SAS scale and corresponding Chinese norms was performed, and then exploring the influence factor of depression and anxiety of PISBO patients. Results The standard scores of depression and anxiety were 49.23±11.39 and 50.31±6.25 respectively, which were higher than those of corresponding Chinese norms (P < 0.05). The results of multivariate logistic regression analysis indicated that, the independent influential factors of depression and anxiety in patients with PISBO included course of disease, type of tumor, other postoperative complications, and postoperative insomnia (P < 0.05), patients whose course of disease longer than 15 days, who with malignant tumor, and who suffered from other postoperative complications and postoperative insomnia, had higher ratios of depression and anxiety. Conclusion The depression and anxiety is very evident in the patients with PISBO, we should pay attention to this phenomenon and give intervention for it.

Citation： ZHANG Xiao-qiang, MA Jia-chi, LI Yi-ping, CHEN Xiao-chang, GUO Qing-jin. Study of Depression and Anxiety in Patients with Postoperative Inflammatory Small Bowel Obstruction. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(9): 1084-1088. doi: 10.7507/1007-9424.20160277 Copy

1.	黎介寿.认识术后早期炎症性肠梗阻的特性.中国实用外科杂志, 1998, 18(7):387-388.
2.	李幼生, 黎介寿.再论术后早期炎性肠梗阻.中国实用外科杂志, 2006, 26(1):38-39.
3.	朱维铭, 李宁.术后早期炎性肠梗阻的诊治.中国实用外科杂志, 2000, 20(8):456-458.
4.	Kim E, Yune S, Ha JM, et al. Predictive factors of response to medical therapy in Crohn's disease patients with intestinal obstruction. Korean J Gastroenterol, 2013, 62(4):213-218.
5.	朱维铭, 李宁, 黎介寿, 等.术后早期炎性肠梗阻的治疗.中国实用外科杂志, 2002, 22(4):219-220.
6.	于皆平, 沈志祥, 罗和生, 等.实用消化病学.北京:科学出版社, 1999:807-813.
7.	张明园.精神科评定量表手册.长沙:湖南科学技术出版社, 1993:34-40.
8.	廖占国.腹部术后发生肠梗阻的独立危险因素及治疗情况研究.检验医学与临床, 2014, 11(21):3011-3012.
9.	袁浩龙.精神障碍与胃肠疾病关系的研究进展.国外医学精神病学分册, 1997, 24(3):137-141.
10.	李红娟.论胃肠疾病的心理焦虑抑郁因素影响与治疗.中国卫生产业, 2012, 9(3):101-107.
11.	王李, 童卫东.术后肠梗阻的发生机制研究进展.中国普外基础与临床杂志, 2011, 18(10):1114-1117.
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14.	卿三华, 彭明, 侯宝华, 等.肠梗阻768例病因分析.中华普通外科杂志, 2000, 15(4):242-243.
15.	江来, 孟荣贵, 王颢, 等.肠梗阻的病因及诊治探讨.中华胃肠外科杂志, 2001, 4(1):34-36.
16.	刘红权, 邓小红, 叶廷明.术后肠梗阻的诊断与治疗.赣南医学院学报, 2006, 26(4):597-598.
17.	杜治政.生物-心理-社会医学模式的实践与医学整合.医学与哲学, 2009, 30(17):1-5.
18.	张冬梅.现代医学模式与心理护理.现代医药卫生, 2004, 20(9):776.
19.	瞿伟, 谷珊珊.抑郁症治疗研究新进展.第三军医大学学报, 2014, 36(11):1113-1117.
20.	Zhu L, Ranchor AV, van der Lee M, et al. Co-morbidity of depres-sion, anxiety and fatigue in cancer patients receiving psychological care. Psychooncology, 2016, 16(4):423-427.
21.	赵亚丽.抗焦虑药物在胃肠道疾病中的应用.中国实用医药, 2013, 8(7):170-171.
22.	陈诗言, 杨巍, 陈万萌, 等.抗抑郁药与心理行为治疗在功能性胃肠疾病中的作用.大家健康, 2013, 7(3):51.
23.	岳李.功能性胃肠病患者精神心理因素调查及抗抑郁治疗效果分析.中国实用神经疾病杂志, 2012, 15(18):43-44.
24.	程族桁, 王奕冉.国内焦虑症的心理疗法研究进展.河南职工医学院学报, 2008, 20(2):210-213.
25.	申莉萍, 雷春华, 丁开云.电针加穴位注射对术后早期炎性肠梗阻患者血浆促炎因子及胃动素水平的影响.中国针灸, 2011, 31(9):795-798.
26.	叶佳媚, 陈道荣.精神心理因素与功能性胃肠病的关系.胃肠病学和肝病学杂志, 2010, 19(5):475-477.
27.	冯超英.焦虑症的药物治疗研究进展.医药导报, 2006, 25(5):447-450.
28.	张玲, 潘润德.焦虑症的治疗现状.神经疾病与精神卫生, 2004, 4(5):401-403.

1. 黎介寿.认识术后早期炎症性肠梗阻的特性.中国实用外科杂志, 1998, 18(7):387-388.
2. 李幼生, 黎介寿.再论术后早期炎性肠梗阻.中国实用外科杂志, 2006, 26(1):38-39.
3. 朱维铭, 李宁.术后早期炎性肠梗阻的诊治.中国实用外科杂志, 2000, 20(8):456-458.
4. Kim E, Yune S, Ha JM, et al. Predictive factors of response to medical therapy in Crohn's disease patients with intestinal obstruction. Korean J Gastroenterol, 2013, 62(4):213-218.
5. 朱维铭, 李宁, 黎介寿, 等.术后早期炎性肠梗阻的治疗.中国实用外科杂志, 2002, 22(4):219-220.
6. 于皆平, 沈志祥, 罗和生, 等.实用消化病学.北京:科学出版社, 1999:807-813.
7. 张明园.精神科评定量表手册.长沙:湖南科学技术出版社, 1993:34-40.
8. 廖占国.腹部术后发生肠梗阻的独立危险因素及治疗情况研究.检验医学与临床, 2014, 11(21):3011-3012.
9. 袁浩龙.精神障碍与胃肠疾病关系的研究进展.国外医学精神病学分册, 1997, 24(3):137-141.
10. 李红娟.论胃肠疾病的心理焦虑抑郁因素影响与治疗.中国卫生产业, 2012, 9(3):101-107.
11. 王李, 童卫东.术后肠梗阻的发生机制研究进展.中国普外基础与临床杂志, 2011, 18(10):1114-1117.
12. 吕云福, 邹盛圈, 詹文华, 等.肠梗阻诊断治疗学.北京:人民卫生出版社, 2007:14-16.
13. 王轶伟.术后肠梗阻探讨.医学综述, 2009, 15(11):1668-1670.
14. 卿三华, 彭明, 侯宝华, 等.肠梗阻768例病因分析.中华普通外科杂志, 2000, 15(4):242-243.
15. 江来, 孟荣贵, 王颢, 等.肠梗阻的病因及诊治探讨.中华胃肠外科杂志, 2001, 4(1):34-36.
16. 刘红权, 邓小红, 叶廷明.术后肠梗阻的诊断与治疗.赣南医学院学报, 2006, 26(4):597-598.
17. 杜治政.生物-心理-社会医学模式的实践与医学整合.医学与哲学, 2009, 30(17):1-5.
18. 张冬梅.现代医学模式与心理护理.现代医药卫生, 2004, 20(9):776.
19. 瞿伟, 谷珊珊.抑郁症治疗研究新进展.第三军医大学学报, 2014, 36(11):1113-1117.
20. Zhu L, Ranchor AV, van der Lee M, et al. Co-morbidity of depres-sion, anxiety and fatigue in cancer patients receiving psychological care. Psychooncology, 2016, 16(4):423-427.
21. 赵亚丽.抗焦虑药物在胃肠道疾病中的应用.中国实用医药, 2013, 8(7):170-171.
22. 陈诗言, 杨巍, 陈万萌, 等.抗抑郁药与心理行为治疗在功能性胃肠疾病中的作用.大家健康, 2013, 7(3):51.
23. 岳李.功能性胃肠病患者精神心理因素调查及抗抑郁治疗效果分析.中国实用神经疾病杂志, 2012, 15(18):43-44.
24. 程族桁, 王奕冉.国内焦虑症的心理疗法研究进展.河南职工医学院学报, 2008, 20(2):210-213.
25. 申莉萍, 雷春华, 丁开云.电针加穴位注射对术后早期炎性肠梗阻患者血浆促炎因子及胃动素水平的影响.中国针灸, 2011, 31(9):795-798.
26. 叶佳媚, 陈道荣.精神心理因素与功能性胃肠病的关系.胃肠病学和肝病学杂志, 2010, 19(5):475-477.
27. 冯超英.焦虑症的药物治疗研究进展.医药导报, 2006, 25(5):447-450.
28. 张玲, 潘润德.焦虑症的治疗现状.神经疾病与精神卫生, 2004, 4(5):401-403.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Study of Depression and Anxiety in Patients with Postoperative Inflammatory Small Bowel Obstruction

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