摘要
目的探讨与鼻科相关的躯体形式障碍的诊断方式和治疗方法。方法收治鼻科相关躯体形式障碍的患者,主诉均为反复发作的鼻科相关的鼻塞、脓涕、疼痛、睡眠障碍等,但查体及CT等辅助检查与临床症状相差较大,且有反复的鼻科手术病史。根据相关诊断标准,初步诊断为鼻科相关躯体形式障碍。经过反复与患者本人及家属沟通,给予综合药物治疗、心理治疗及暗示性手术治疗等个体化治疗方案。结果患者术后症状缓解,经此手术治疗后,患者精神量表评分均明显好转。术后微信及电话随访,患者已经恢复工作。结论心理治疗及暗示性手术等对躯体形式障碍患者有较好的治疗效果。
Objective To study the diagnosis and treatment of nasal related somatoform disorders.Methods In the two patients in our hospital with nasal related somatoform disorders,the main complaints were recurrent nasal obstruction,purulent nasal discharge,pain,sleep disorders,etc.However,their physical examination,and CT scans and other auxiliary examinations did not match their clinical symptoms.The patients always reported a history of repeated nasal surgeries.According to the diagnostic criteria,two patients were initially diagnosed with nasal related somatoform disorders.After further discussion with the patients and their families,we planned individualized treatment programs with comprehensive medical treatment,psychological therapy,and implied surgery,according to the patient＇s disease process.Results Substantial improvements were noted in the two patients after surgery.The patients＇ mental scale scores were significantly improved postoperatively.On WeChat and telephone follow-up,the patients reported that they have begun to work and have an improved quality of life.Conclusion Psychotherapy and implied surgery have a good therapeutic effect on patients with somatoform disorders.
作者
孙淑娟
时蕾
樊兆民
时光刚
SUN Shujuan;SHI Lei;FAN Zhaomin;SHI Guanggang(Department of Otorhinolaryngology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China)
出处
《山东大学耳鼻喉眼学报》
CAS
2018年第4期32-36,共5页
Journal of Otolaryngology and Ophthalmology of Shandong University
基金
山东省医药卫生科技发展计划项目(2014WS0099)
关键词
鼻
躯体形式障碍
手术
暗示疗法
Nose
Somatoform disorders
Surgery
Implied therapy
