A Study on the Correlation between Psychological State and Dysbiosis of Gut Microbiota and Gastrointestinal Motility in Patients with Functional Dyspepsia
YANG Ting, LIU Wenqing, LIU Jinzhi, et al
The Qingdao Central Hospital,Qingdao Shandong 266042
Abstract:【Objective】 To explore the correlation between the psychological state of patients with functional dyspepsia (FD) and the imbalance of gut microbiota and gastrointestinal motility. 【Methods】Eighty FD patients admitted to our hospital from May 2020 to April 2021 were selected as the study subjects. Depression levels, Lactobacillius, Enterococcus, and 6-hour postprandial gastric emptying rate were evaluated using the Self Rating Depression Scale (SDS), quantitative and qualitative detection of fresh fecal specimens, and small barium X-ray gastric emptying test, respectively. Pearson correlation analysis was used to examine the relationship between psychological status, gut microbiota imbalance, and gastrointestinal motility in FD patients. 【Results】The SDS score of FD patients was (59.41±4.85) points, the Lactobacillus count was (6.45±1.27) lgCFU/g, the Enterococcus count was (7.41±1.04) lgCFU/g, and the gastric emptying rate at 6 hours after meals was (88.36±6.74)%. Pearson correlation analysis showed that SDS score was positively correlated with Enterococcus count (r=0.594, P<0.05), negatively correlated with postprandial gastric emptying rate at 6 hours (r=-0.721, P<0.05), and negatively correlated with Lactobacillus count (r=-0.622, P<0.05); Lactobacillus count was positively correlated with postprandial gastric emptying rate at 6 hours (r=0.580, P<0.05), and negatively correlated with Enterococcus (r=-0.491, P<0.05). The count of Enterococcus was negatively correlated with the gastric emptying rate at 6 hours after meals (r=-0.784, P<0.05). 【Conclusion】 Patients with functional digestion have a negative psychological state of depression, and clinical physicians should develop positive and reasonable psychological treatment methods to correct the patient's negative psychology, which can help improve the patient's gastrointestinal function and promote early recovery.
杨婷, 刘文卿, 刘金枝, 郑英兰. 功能性消化不良患者心理状态与肠道菌群失调、胃肠动力的相关性[J]. 医学临床研究, 2023, 40(12): 1916-1918.
YANG Ting,LIU Wenqing,LIU Jinzhi,et al. A Study on the Correlation between Psychological State and Dysbiosis of Gut Microbiota and Gastrointestinal Motility in Patients with Functional Dyspepsia. JOURNAL OF CLINICAL RESEARCH, 2023, 40(12): 1916-1918.
[1] 陈世雄,黄仑峰,周莉,等.精神心理障碍对功能性消化不良患者胃功能和生活质量的影响[J].国际精神病学杂志,2017,44(2):287-289. [2] 陶平宇,王辉,董双勇,等.精神心理因素与功能性胃肠疾病发病的相关性分析[J].重庆医学,2017,46(A01):252-254. [3] 郭城.功能性消化不良的精神心理因素研究进展[J].安徽医药,2017,21(10):1764-1767. [4] 黑利娟,马士芬,徐俊荣.昼夜节律与胃肠道动力及肠道菌群的关系[J].国际消化病杂志,2018,38(4):230-232. [5] 中华医学会消化病学分会胃肠动力学组.中国消化不良的诊治指南(2007,大连)[J].中华全科医师杂志,2008,7(9):593-595. [6] JOKELAINEN J, TIMONEN M, KEINÄNEN-KIUKAANNIEMI S, et al. Validation of the Zung self-rating depression scale (SDS) in older adults[J].Scand J Prim Health Care,2019,37(3):353-357. [7] 刘红玉,李志婷.功能性消化不良患者焦虑、抑郁状态与胃窦黏膜GAS及SS表达的关系[J].山东医药,2016,56(18):57-58. [8] PASRICHA P J, GROVER M, YATES K P, et al. Functional dyspepsia and gastroparesis in tertiary care are interchangeable syndromes with common clinical and pathologic features[J].Gastroenterology,2021,160(6):2006-2017. [9] 赵亮,王娟.米氮平在BMI降低功能性消化不良合并抑郁症患者中临床效果研究[J].医学临床研究,2018,35(9):1745-1747. [10] 徐孙臻.双歧杆菌四联活菌片联合曲美布汀对糖尿病性腹泻患者胃肠动力及肠道菌群的影响[J].中国微生态学杂志,2019,31(4):442-445. [11] 左国文,齐晶晶,梁列新,等.南宁市大学生消化不良与精神心理和社会因素的关系[J].中华消化杂志,2016,36(4):259-264. [12] 丁姮月,孙宏文.肠道菌群与腹泻型肠易激综合征相关性的研究进展[J].中国微生态学杂志,2019,31(1):119-124. [13] 沈凤.精神心理因素对功能性和器质性消化不良的影响及临床特点分析[J].国际消化病杂志,2016,36(2):130-131. [14] 张洁,窦钰静.功能性消化不良患者120例精神心理影响因素调查分析与干预对策[J].山西医药杂志,2019,48(11):1289.