苏中地区青少年变应性鼻炎患者生活质量和焦虑抑郁情绪症状分析

摘要

目的 评估变应性鼻炎(allergic rhinitis,AR)对南通地区青少年生活质量和焦虑抑郁情绪症状的影响.方法 对青少年AR患者进行生活质量、焦虑和抑郁情绪症状调查.病例组选取青少年AR患者220例,选择同期健康青少年240名作为对照组.以青少年鼻结膜炎生活质量调查问卷(Rhinoconjunctivitis Quality of Life Questionnaire,RQLQ)、儿童焦虑相关情绪筛查量表(the Screen for Child Anxiety Related Emotional Disorders,SCARED)、儿童抑郁症状障碍评价量表(Children's Depression Inventory,CDI)对研究对象进行评估,比较AR组患儿与对照组患儿各维度得分的差异,以SPSS 13.0统计软件进行结果分析.结果 青少年AR患者组生活质量各维度(鼻部症状、眼部症状、其他症状、行为问题和实际问题)的评分均值均明显高于健康对照青少年组,差异有统计学意义(P值均＜0.01).青少年AR患者组焦虑症状得分为(24.15±4.89)分,显著高于对照组的(19.13±3.17)分,差异有统计学意义(=12.79,P＜0.05);抑郁症状得分为(20.78 ±4.41)分,略高于对照组的(19.97 ±3.45)分,但差异无统计学意义(t=2.34,P＞0.05).与青少年AR患者焦虑情绪症状相关的生活质量维度包括鼻部症状(r =0.576)、其他问题(r=0.433)和行为问题(r=0.469),P值均＜0.05.结论 AR影响青少年生活质量和焦虑情绪症状,应从健康整体观出发,重视AR青少年的身心健康.%Objective To evaluate the quality of life and emotion symptoms (anxiety symptom and depressive symptom) of adolescents with allergic rhinitis (AR) in middle area of Jiangsu province.Methods A case-control study on quality of life and emotion symptoms among 220 AR adolescents and 240 controls was performed.The participants were investigated by questionnaires of RQLQ,ICD,and SCARED.SPSS 13.0 software was used to analyze the data.Results The scores of RQLQ five dimensions with AR were higher than the controlled subjects respectively(all P ＜0.01).The score of SCARED((24.15 ±4.89) vs (19.13 ± 3.17)) but not ICD((20.78 ±4.4) vs (19.97 ±3.45)) in AR was higher than the controlled subjects(t =12.79,P ＜ 0.05;t =2.34,P ＞ 0.05).Furthermore,anxiety symptom was significantly associated with nasal symptoms,other problems and behavior problems.Conclusions The quality of life and emotion symptoms were significantly affected by AR.It is important to pay attention to overall health in AR adolescents.