摘要
目的 :探讨综合性干预防治偏头痛的疗效。方法 :将 14 2名偏头痛患者随机分为两组 ,研究组除常规治疗外 ,并用心理治疗和抗抑郁焦虑剂 ,对照组仅用常规治疗 ,标准治疗期 40天 ,对两组痊愈者跟踪随访 1年。入组者治疗前后均检测血中 5 -HT含量及SCL -90评定。结果 :两组于治疗后血 5 -HT及SCL -90总分均下降 ,但研究组下降显著高于对照组 (p <0 0 5～ 0 0 1)。研究组总有效率 10 0 %、痊愈率94 4%、 1年后仍保持痊愈者 10 0 % ,明显优于对照组 (分别为 84 5 %、 3 3 8%、 62 5 % ,p <0 0 1)。结论 :心理干预能有效提高偏头痛患者的心理健康水平 ,改善心身症状。
Objective: To investigate therapeutic effects of comprehensive intervention (psychotherapy plus antidepressant or anxioletics) in treatment of migraine Method: One hundred and forty-two patients with migraine were randomly assigned to two groups: study group with comprehensive therapy and routine treatment for migraine, control group with routine treatment for migraine only Both groups were treated for at least 40 days and were assessed by SCL-90 before and after intervention, plasma 5-HT of them was also tested twice All of them were followed for 1 year Results: The levels of blood 5-HT and total score of SCL-90 were reduced in both groups after treatment, but those of study group decreased more dramatically than control group (p<0 05) In study group, the effective rate was 100%, cure rate was 94 4%, and 100% remained stable after 1 year These results were significantly better than the counter parts of control group (84 5%, 33 8% and 62 5% respectively, p<0 01) Conclusion: Comprehensive intervention is much more effective than routine treatment for migraine
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2001年第4期263-264,共2页
Chinese Mental Health Journal
