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[目的]分析回汉民族代谢综合征与心理应激的关系。[方法]选择2009年3～6月之间在银川地区确诊为代谢综合征的患者和健康体检人群各200例分别为病例组和对照组,采用症状自评量表(SCL-90)对研究对象进行心理状况分析。[结果]①汉族和回族在焦虑、敌意、偏执、精神病性这四个因子上有统计学差异,且回族各因子均高于全国常模(P﹤0.05);②病例组与对照组在SCL-909个因子及阳性项目和总分之间均有统计学差异(P﹤0.05);③多因素Logistics回归分析结果显示躯体化(OR=4.16)是代谢综合征的危险因素(P﹤0.05)。[结论]代谢综合征患者心理应激水平差于正常人群,且回族人群心理状况与全国平均水平相比有一定差异。
[Objective] To analyze the relationship between metabolic syndrome and mental stress in Hui and Han nationalities. [Methods] The 200 patients diagnosed as metabolic syndrome in Yinchuan from March to June in 2009 were selected as the case group and the control group respectively. Symptom Checklist-90 (SCL-90) Subject psychological status analysis. [Results] ①The Han and Hui nationalities showed significant differences in anxiety, hostility, paranoia and psychosis, and all factors in Hui were higher than those in the national norm (P <0.05). ②The cases and controls were significantly different in SCL (P <0.05); ③multi-factor Logistic regression analysis showed that somatization (OR = 4.16) was a risk factor for metabolic syndrome (P <0.05); There was a significant difference between -909factors and positive items and the total score . [Conclusion] Psychological stress in patients with metabolic syndrome is worse than that in normal people, and the psychological status of Hui people is different from the national average.