心理治疗对功能性消化不良康复的影响

The Effect of Psychotherapy on Rehabilitation of Functional Dyspepsia

目的：探讨心理治疗对功能性消化不良康复的影响。方法：将１０３例功能性消化不良病人随机分为两组，研究组（５３例）用西沙必利联合心理治疗，对照组（５０例）单用西沙必利治疗，疗程４周。观察治疗前、后临床症状的变化及研究组ＳＣＬ－９０的变化。结果：研究组治疗总有效率８８．７％，对照组为６４％，两组比较差异有显著性（Ｐ＜０．００５）；心理治疗后ＳＣＬ－９０总分及各因子分均下降，与治疗前相比有显著差异（Ｐ＜０．０５）。结论：心理治疗对功能性消化不良的康复有明确效果。

Objective:To study the effect of psychotherapy on rehabilitation of functional dyspepsia.Methods:103 patients with functional dyspepsia were randomly allocated to two groups.Group A (53 cases)treated with cisapride and psychotherap, Group B(50 cases)treated with cisapride.The trentment lasted 4 weeks.Results:The total effective rate of group A was 88.7%,and group B was 64%.There were statistcally significant difference between the two groups(P<0.005).After psychotherapy,the total and factor scores of SCL-90 decreased signifcantly.Conclusion:Psychotherapy was effective in rehabilitation therapy of functional dyspepsia.