慢性乙型肝炎合并焦虑症患者生存质量及免疫指标的变化研究

Changes of life quality and immune indexes of patients with chronic hepatitis B complicated with anxiety

  • 摘要: 目的 分析慢性乙型肝炎合并焦虑症患者生存质量及免疫指标的变化情况,为患者的诊断与治疗提供依据。方法 选取2014年1月-2015年11月于医院进行治疗的慢性乙型肝炎合并焦虑症患者48例为观察组,慢性乙型肝炎患者48例为对照组,将对照组和观察组生存质量及红细胞免疫、细胞免疫指标进行比较,同时比较观察组轻度、中度及重度焦虑症患者的生存质量及红细胞免疫、细胞免疫指标。结果 观察组生存质量方面包括生理方面、心理方面、社会关系及环境领域的评分分别为(52.21±5.40)分、(54.22±5.61)分、(50.17±4.82)分及(58.81±5.80)分,其低于对照组(61.32±5.79)分、(65.42±6.13)分、(60.28±5.46)分及(70.64±6.57)分,观察组红细胞免疫及细胞免疫指标也均差于对照组,且观察组轻度、中度及重度焦虑症患者的生存质量及红细胞免疫、细胞免疫指标也存在明显差异,差异有统计学意义(P<0.05)。结论 慢性乙型肝炎合并焦虑症患者生存质量及免疫指标相对较差,且焦虑程度对其评估结果也有较大影响,因此应重视慢性乙型肝炎患者焦虑症的治疗。

     

    Abstract: OBJECTIVE To analyze changes of life quality and immune indexes of patients with chronic hepatitis B complicated with anxiety,so as to provide evidence for the diagnosis and treatment of patients. METHODS A total of 48 patients with chronic hepatitis B complicated with anxiety in our hospital from Jan. 2014 to Nov. 2015 were selected as observation group,48 patients with only chronic hepatitis B were selected as control group,then the life quality,erythrocyte immunity and cellular immunity indexes of control group and observation group were compared,and the life quality,erythrocyte immunity and cellular immunity indexes among observation group with mild,moderate and severe anxiety were compared too. RESULTS The life quality including physiology aspect,psychology aspect,social relations and environmental indexes of observation group were(52.21±5.40)points,(54.22±5.61)points,(50.17±4.82)points and (58.81±5.80)points,respectively, which were all lower than (61.32±5.79)points,(65.42±6.13)points,(60.28±5.46)points and (70.64±6.57)points of control group,and the erythrocyte immunity and cellular immunity indexes of observation group were all worse than those of control group. The life quality,erythrocyte immunity and cellular immunity indexes among observation group with mild,moderate and severe anxiety had obvious differences,and the differences were statistically significant (all P<0.05). CONCLUSION The life quality and immune indexes of patients with chronic hepatitis B complicated with anxiety are relatively worse,and the degree of anxiety has great impact on evaluat results, too, so the doctors shoud pay attention to the treatment of patients with chronic hepatitis B complicated with anxiety.

     

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