[摘要]目的：分析影响整形美容就医者体象心理状态的危险因素。方法：对2016年1月-2018年6月拟在笔者医院接受整形美容的619例就医者开展体象心理状态自评问卷调查，分析影响其心理状态的危险因素。结果：本次有效问卷回收率87.88%(544/619)，其中157(28.86%)例体象正常、242(44.49%)例存在体象烦恼、145(26.65%)例存在体象障碍;经多因素Logistic回归分析，既往整形史、周围人对外貌不愉快的评价、周围朋友整形情况、与周围人外貌比较等4个因素是整形美容就医者体象心理状态异常的危险因素。结论：整形美容就医者中体象心理状态异常比重较高，既往有整形史、有不愉快的外貌评价、周围朋友有整形现象及与周围人外貌比较不佳或为影响其体象心理状态异常的独立危险因素。

    [关键词]整形美容;就医者;体象心理状态;危险因素

    [中图分类号]R395 [文献标志码]B [文章编号]1008-6455(2019)04-0141-04

    Abstract： Objective To analyze the risk factors for body dysmorphic psychological state of people undergoing plastic surgery. Methods A self-assessment questionnaire survey about body dysmorphic psychological state was conducted in 619 people who were scheduled to be treated by plastic surgery in the hospital from January 2016 to June 2018. Risk factors for body dysmorphic psychological state were analyzed. Results The effective recovery rate of questionnaires was 87.88% (544/619). There were 157 subjects (28.86%) with normal body image ......