Chernousov A F, Vinogradov M V, Shestakov A L
Khirurgiia (Mosk). 1993 Apr(4):20-5.
The authors examined a group of 42 patients with neuromuscular diseases of the esophagus. They distinguished a group of patients who were not treated previously, a group with recurrent neuromuscular diseases of the esophagus in high tonues of the cardia, and a group of patients with a recurrence in normal or low tonus of the cardia. All patients underwent roentgenoscopy of the esophagus and stomach, esophagogastroscopy, and esophagomanometry, as well as clinico-psycho-diagnostic examination. Polymorphism of psychic reactions with predominance of anxiety and depression was revealed in the group of untreated patients, tendency to develop static forms of psychic and somatic responses and mild excitability were encountered in the group of patients with a recurrence in increased cardiac tonus. In patients with a recurrence in low tonus of physiological cardia the condition was determined by hystero-hypochondriac, alarming-depressive disorders. Clinocopsycho-diagnostic examination made it possible to develop averaged schemes of psychotropic therapy according to the groups of patients.
作者对一组42例患有食管神经肌肉疾病的患者进行了检查。他们区分出一组此前未接受过治疗的患者、一组在贲门高压时患有复发性食管神经肌肉疾病的患者以及一组在贲门正常或低压时出现复发的患者。所有患者均接受了食管和胃的X线透视、食管胃镜检查、食管测压以及临床心理诊断检查。在未治疗的患者组中发现了以焦虑和抑郁为主的精神反应多态性，在贲门压力升高时复发的患者组中遇到了发展为精神和躯体反应静态形式的倾向以及轻度兴奋性。在生理性贲门低压时复发的患者中，病情由癔症 - 疑病症、惊恐 - 抑郁障碍决定。临床心理诊断检查使得能够根据患者组制定平均的精神药物治疗方案。
