摘要
目的探讨行为认知治疗技术对抑郁焦虑患者的长期疗效。方法以2012年12月~2013年11月大庆市第三医院收治的106例抑郁焦虑患者为研究对象,随机分为两组,分别进行行为认知治疗（观察组）和常规治疗（对照组）。两组患者均给予6个疗程的治疗,每个疗程为2周,共计12周。比较两组疗效及治疗前后患者的汉密尔顿焦虑量表（HAMA）、汉密顿抑郁量表（HAMD）评分。结果观察组的显效率为83.02%,对照组的显效率为73.58%,观察组患者显效率高于对照组患者,差异有统计学意义（P〈0.05）。治疗后两组患者HAMA、HAMD评分较治疗前均明显降低（P〈0.05）,且观察组患者的HAMA、HAMD评分低于对照组,差异有统计学意义（P〈0.05）。观察组患者中出现2例头痛,1例失眠,1例恶心,1例胃肠道反应,不良反应率为9.25%;对照组患者中出现3例头痛,2例失眠,1例恶心,1例胃肠道反应,不良反应率为12.96%;两组间比较差异无统计学意义（P〉0.05）。结论行为认知治疗技术在抑郁焦虑患者的治疗上具有明显优势,长期疗效显著,患者的HAMA、HAMD评分达到正常水平。
Objective To explore the long-term efficacy of cognitive behavioral therapy techniques for patients with depression and anxiety.Methods 106 cases of patients with anxiety and depression from December 2012 to November2013 in the Third Hospital of Daqing City were selected as the research objects,randomly divided into two groups,respectively given the cognitive behavioral therapy（observation group） and the routine treatment（control group）.Patients in the two gorups were given 6 courses treatment,each course of treatment for 2 weeks,a total of 12 weeks.The curative effect and HAMA,HAMD scores before and after treatment were compared between the two groups.Results The effective rate in the observation group was 83.02%,which in the control group was 73.58%;the observation group was significantly higher than the control group,the difference was statistically significant（P〈0.05）.After treatment,HAMA,HAMD scores of the two groups were significantly lower than before treatment（P〈0.05）,and the HAMA,HAMD scores of observation group were lower than the control group,the differences were statistically significant（P〈0.05）.In the observation group 2 cases had headache,1 case had insomnia,1 case had nausea,1 case had gastrointestinal reaction,the adverse reaction rate was 9.25%;in the control group,3 cases had headache,2 cases had insomnia,1 case had nausea,1 case had gastrointestinal reaction,the adverse reaction rate was 12.96%,the difference between the two groups had no statistically significant（P〉0.05）.Conclusion Cognitive behavioral therapy technology has obvious advantages in the treatment of patients with anxiety and depression,long-term curative effect is remarkable,HAMA and HAMD scores of patients have reached the normal level.
出处
《中国医药导报》
CAS
2015年第10期67-70,共4页
China Medical Herald
基金
黑龙江省卫生厅科研课题(编号2012-509)
