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目的通过meta分析的方法比较肠易激综合征(IBS)患者及健康人群的心理健康状况。方法双人独立全面检索CNKI、万方、PubMed 3个数据库,对符合纳入标准的文献提取研究者姓名、研究时间、研究地点、效应值等指标,采用Stata11.0合并效应值进行发表偏倚检验。结果本次研究共纳入23篇文献,与对照组相比,IBS患者躯体化0.74(0.51,0.98)、强迫0.29(0.11,0.48)、人际关系0.28(0.11,0.45)、抑郁0.51(0.30,0.72)、焦虑0.53(0.30,0.77)、敌对0.13(0.03,0.24)、恐怖0.39(0.23,0.55)、偏执0.17(0.23,0.55)、精神病0.17(-0.002,0.33)9个维度的得分均相对较高。结论心理因素是IBS发生的重要原因,对患者进行有效的心理干预是IBS治疗的重要手段。
Objective To compare the mental health of patients with irritable bowel syndrome (IBS) and healthy people by meta-analysis. Methods A total of three databases, CNKI, Wanfang and PubMed, were searched independently and independently. The names of the investigators, study period, study site and effect value were extracted from the literatures that meet the inclusion criteria. Post-test bias was tested using Stata11.0 combined effect. Results A total of 23 articles were included in this study. Compared with the control group, somatosensory 0.74 (0.11, 0.48), 0.29 (0.11, 0.48), interpersonal relationship 0.28 (0.11, 0.45), depression 0.51 (0.30, 0.72 ), Anxiety 0.53 (0.30,0.77), hostility 0.13 (0.03,0.24), horror 0.39 (0.23,0.55), paranoid 0.17 (0.23,0.55), psychotic 0.17 (-0.002,0.33) high. Conclusions Psychological factors are important causes of IBS. Effective psychological intervention for patients is an important means of IBS treatment.