外阴上皮内非瘤样病变患者焦虑抑郁心理状况及对其生活质量影响.docVIP

外阴上皮内非瘤样病变患者焦虑抑郁心理状况及对其生活质量影响 　　[摘要] 目的 分析外阴上皮内非瘤样病变（NEDV）患者焦虑/抑郁心理状态及对其生活质量和性生活质量的影响。方法 采用焦虑自评量表（SAS）和抑郁自评量表（SDS）对80例NEDV患者和120例健康体检妇女进行对照调查分析；比较NEDV患者有无焦虑/抑郁和焦虑/抑郁程度及瘙痒症状评分；采用诺丁汉健康量表（NHP）和性生活功能评估量表（BISF-W）调查分析焦虑/抑郁对NEDV患者生活质量和性生活质量的影响。 结果 NEDV患者焦虑、抑郁发生率及评分均高于对照组（P 　　[关键词] 外阴上皮内非瘤样病变；焦虑/抑郁；生活质量；性生活质量 　　[中图分类号] R473.71 [文献标识码] B [文章编号] 1673-9701（2013）25-0017-03 　　Study of anxiety/depression states of the patients with nonneoplastic epithelial disorders of vulva and their impacts on quality of life 　　WANG Lin YI Jinling QI Ling ZHU Jun SHEN Yanli 　　Department of Gynecology，the Fifth Affiliated Hospital of Xinjiang Medical University，Urumqi 830011，China 　　[Abstract] Objective To clarify whether patients with nonneoplastic epithelial disorders of vulva （NEDV）experience emotional anxiety/depression，and whether anxiety/depression affect their qualities of life and qualities of sexual life. Methods Self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were administered to assess the psychological states of 80 patients with NEDV and 120 healthy women；To study whether anxiety / depression of the patients with NEDV were in relation to itching symptom；the Nottingham health poofity（NHP） and Brief index of sexual function for women （BISF-W）were administered to investigate and analyzed the effects of anxiety/depression on qualities of life and qualities of sexual life of the patients with NEDV. Results The incidence and the mean scores of anxiety/depression in the patients with NEDV are higher than those in the control group（P 　　[Key words] Nonneoplastic epithelial disorders of vulva；Anxiety/depression； Quality of life； Quality of sexual life 　　外阴上皮内非瘤样病变（nonneoplastic epithelial disorders of vulva，NEDV）是女性外阴皮肤和黏膜组织色素改变和变性的一组慢性疾病[1]，以外阴瘙痒和色素脱失为其主要临床特征，晚期常伴有外阴萎缩、阴道狭窄和性交???等。迄今病因不清，因其疾病顽固，发生部位较隐私，加之无特效治疗方法，易给患者造成痛苦、精神压力大，产生焦虑、抑郁不良情绪。本研究欲通过焦虑自评量表（SAS）和抑郁自评量表（SDS）[2]调查NEDV患者的焦虑/抑郁状况，以评价此类人群的心理健康状况；通过分析焦虑/抑郁与外阴瘙痒评分间的关系，了解引起焦虑/抑郁的可能躯体因素；通过诺丁汉健康量表（NHP）[3]和性生活功