神經(jīng)內(nèi)科門診軀體癥狀障礙患者臨床表現(xiàn)及性別差異分析

神經(jīng)內(nèi)科門診軀體癥狀障礙患者臨床表現(xiàn)及性別差異分析

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時間:2018-11-06

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1、授予單位代碼10089學(xué)號或申請?zhí)?0153557中國圖書分類號R741HebeiMedicalUniversity碩士學(xué)位論文專業(yè)學(xué)位神經(jīng)內(nèi)科門診軀體癥狀障礙患者臨床表現(xiàn)及性別差異分析研究生:耿張燕導(dǎo)師:王銘維教授專業(yè):神經(jīng)病學(xué)二級學(xué)院:河北醫(yī)科大學(xué)第一醫(yī)院2018年3月目錄中文摘要············································································································1英文摘要············································

2、································································3英文縮寫············································································································5研究論文神經(jīng)內(nèi)科門診軀體癥狀障礙患者臨床表現(xiàn)及性別差異分析前言···························································································

3、·················6材料與方法······························································································6結(jié)果············································································································8附表·····································································

4、·····································11討論··········································································································15結(jié)論··········································································································18參考文獻(xiàn)·····································

5、·····························································19綜述軀體癥狀障礙研究進(jìn)展································································22致謝············································································································30個人簡歷···········································

6、·······························································31中文摘要神經(jīng)內(nèi)科門診軀體癥狀障礙患者臨床表現(xiàn)及性別差異分析摘要目的:對神經(jīng)內(nèi)科門診軀體癥狀障礙患者臨床表現(xiàn)及性別差異進(jìn)行研究分析。方法:收集河北醫(yī)科大學(xué)第一醫(yī)院神經(jīng)內(nèi)科門診2015.6-2017.3軀體癥狀障礙患者199例,對臨床表現(xiàn)、漢密爾頓焦慮抑郁量表、心率變異性等進(jìn)行回顧性分析,并分析男女兩組的差異。結(jié)果:1199例患者,男性58例,平均(46.17±17.09)歲,女性平均(52.23±14.17)歲,女性平均年齡高于男性(P<0.05)。199例患者中41

7、~60歲組人數(shù)最多,男性21~40歲組較女性多(P<0.05)。受教育水平以初中及下為主,高學(xué)歷男性較女性多(P<0.05)。2臨床表現(xiàn)可涉及多個系統(tǒng),主要為神經(jīng)系統(tǒng)、心血管系統(tǒng)、消化系統(tǒng)癥狀,男性患者除上述三類癥狀以外的表現(xiàn)如乏力等較女性多見(P<0.05)。3HAMA14≥7分者共191例,平均(15.30±4.59)分,男女患者均以肯定有焦慮為主。女性軀體性焦慮得分高于男性,HAMA14≥7

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