神经内科门诊躯体症状障碍患者临床表现及性别差异分析

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1、授予单位代码10089学号或申请号20153557中国图书分类号R741HebeiMedicalUniversity硕士学位论文专业学位神经内科门诊躯体症状障碍患者临床表现及性别差异分析研究生：耿张燕导师：王铭维教授专业：神经病学二级学院：河北医科大学第一医院2018年3月目录中文摘要············································································································1英文摘要············································

2、································································3英文缩写············································································································5研究论文神经内科门诊躯体症状障碍患者临床表现及性别差异分析前言···························································································

3、·················6材料与方法······························································································6结果············································································································8附表·····································································

4、·····································11讨论··········································································································15结论··········································································································18参考文献·····································

5、·····························································19综述躯体症状障碍研究进展································································22致谢············································································································30个人简历···········································

6、·······························································31中文摘要神经内科门诊躯体症状障碍患者临床表现及性别差异分析摘要目的：对神经内科门诊躯体症状障碍患者临床表现及性别差异进行研究分析。方法：收集河北医科大学第一医院神经内科门诊2015.6-2017.3躯体症状障碍患者199例，对临床表现、汉密尔顿焦虑抑郁量表、心率变异性等进行回顾性分析，并分析男女两组的差异。结果：1199例患者，男性58例，平均（46.17±17.09）岁，女性平均（52.23±14.17）岁，女性平均年龄高于男性（P<0.05）。199例患者中41

7、~60岁组人数最多，男性21~40岁组较女性多（P<0.05）。受教育水平以初中及下为主，高学历男性较女性多（P<0.05）。2临床表现可涉及多个系统，主要为神经系统、心血管系统、消化系统症状，男性患者除上述三类症状以外的表现如乏力等较女性多见（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虑为主。女性躯体性焦虑得分高于男性，HAMA14≥7