摘要
目的:观察经络协调系统对躯体形式障碍的临床疗效及不良反应。方法:选择65例躯体形式障碍患者随机分为两组,研究组给予药物治疗联合经络协调治疗,对照组仅给予单纯药物治疗,均治疗8周。分别于治疗前及治疗后2,4,6,8周时应用汉密尔顿抑郁量表(HAMD-24)、汉密尔顿焦虑量表(HAMA)以及临床总体印象量表(CGI)评定其疗效;应用副反应量表(TESS)评估其不良反应。结果:在治疗第6周末开始两组HAMD-24总分比较有显著性差异(t=-5.36,-2.44;P<0.05),在治疗第6周末开始研究组焦虑/躯体化因子分明显低于对照组(t=-5.11,-7.54;P<0.05),其余因子无显著性差异(P>0.05);治疗的第4周末开始两组HAMA总分比较有显著性差异(t=-3.29,-3.25,-3.81;P<0.05),在治疗第4周末开始研究组躯体性焦虑因子分明显低于对照组(t=-3.99,-3.33,-524;P<0.05),精神性焦虑因子两组比较无显著性差异(P>0.05);两组的CGI评分较治疗前均有明显改善,研究组有效率为88%,痊愈率48%,对照组有效率为75%,痊愈率25%,两组有效率比较无显著性差异(χ2=1.79,P>0.05),两组痊愈率比较有显著性差异(χ2=5.95,P<0.05);两组不良反应无显著性差异;两组间TESS评分比较无明显差异性。结论:经络协调治疗合并药物治疗躯体形式障碍优于单纯药物治疗,尤其对躯体症状效果更好,并且两组不良反应相当。
Objective： To research the application of Meridian Adjustment Diagnosis and Therapy to Somatoform discorders. Methods： A total of 65 patients with Somatoform discorders were randomly assigned to two groups for 8 weeks treatment,one group used the Meridian Adjustment Diagnosis and Therapy,the other used the drugs only. HAMA,HAMD,CGI and TESS were evaluated on the baseline and 2,4,6 and 8 weeks after treatment. Results： After 6- week and 8- week treatment,there were significant difference in the scores of HAMD between the two groups（ t =-5. 36,-2. 44; P〈0. 05）; After 6- week,the anxiety / somatoform gence between the two groups were significant difference（ t =-5. 11,-7. 54; P〈0. 05）; Scores of HAMA had significant differences after 4- week,6- week and 8- week treatment（ t =-3. 29,-3. 25,-3. 81; P〈0. 05）,after 2- week,4- week,6- week and 8- week,the somatoform anxiety gence between the two groups were significant difference（ t =-3. 99,-3. 33,-5. 24; P〈0. 05）. The effective rate of study group was 88% while the control group＇s effective rate was 75%. There was no significant difference between the two groups. The cure rate of study group was 48% while the control group＇s cure rate was 25%. There was significant difference between the two groups（ χ2= 5. 91,P〈0. 05）. There was no significant difference in the scores of side effects between the two groups,There was no significant difference in the scores of TESS between the two groups. Conclusion： The Meridian Adjustment Diagnosis and Therapy is good for Somatoform discorders,especially good for somatization,and the treatment is safet.
出处
《中国健康心理学杂志》
2015年第6期805-809,共5页
China Journal of Health Psychology
关键词
经络协调
药物治疗
躯体形式障碍
临床对照研究
Meridian Adjustment Diagnosis and Therapy Drugs Somatoform disorders Clinical research on the application
