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目的:探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的心理状况及综合性治疗对其的影响。方法:对85例OSAHS患者治疗前和治疗后不同时段的心理状况进行分析和对比。结果:OSAHS患者症状自评量表(SCL90)躯体化、强迫、人际敏感、抑郁、焦虑、精神病性的因子分较国内常模明显增高(P<0.01)。SCL90抑郁、焦虑因子分、Zung氏焦虑自评表(SAS)、汉密顿抑郁量表(HRSD)评分于治疗后1周、3个月依次递减,治疗前与治疗后1周差异有统计学意义,治疗后1周与3个月差异有统计学意义。结论:OSAHS患者存在显著的心理卫生障碍,综合性治疗有助于患者的身心康复。
Objective: To investigate the psychological status of patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) and the effect of comprehensive treatment on them. Methods: The psychological status of 85 OSAHS patients before and after treatment were analyzed and compared. Results: The scores of somatization, compulsion, interpersonal sensitivity, depression, anxiety and psychosis were significantly higher in OSAHS patients than in national norm (P <0.01). SCL90 depression, anxiety factor scores, Zung’s self-rating anxiety scale (SAS), and the Hamilton Depression Scale (HRSD) scores decreased at 1 week and 3 months after treatment, and there were statistically significant differences between pre-treatment and 1 week after treatment Significance, 1 week after treatment and 3 months difference was statistically significant. Conclusion: There are significant mental health problems in OSAHS patients, and comprehensive treatment can help patients’ physical and psychological recovery.