68例慢性盆腔炎合并抑郁/焦虑患者的心理特点及治疗效果研究

Psychological characteristic and therapeutic effects of 68 cases of chronic pelvic inflammatory disease with depression and/or anxiety disorder

目的 分析慢性盆腔炎合并抑郁 焦虑障碍患者的心理特征,进行相应的治疗并观察疗效。方法 86例常规抗炎治疗无效的慢性盆腔炎患者接受抑郁自评量表(SDS)、焦虑自评量表(SAS)和应付方式问卷(CSQ)的测试。根据抑郁 焦虑障碍的诊断给予心理疏导和抗抑郁抗焦虑药物相结合的方法配合消炎治疗。结果 86例患者中合并抑郁 焦虑障碍者68人。慢性盆腔炎合并情绪障碍患者SDS和SAS标准分分别高于正常人,差异均非常显著(P <0 0 1)。婚姻状态不良和病程长的患者,SDS和SAS分均较高,差异显著(P <0 0 5 )。慢性盆腔炎合并抑郁 焦虑患者的自责、幻想、逃避、合理化等因子评分明显高于健康对照组,差异显著(P <0 0 5 )。采用心理疏导和抗抑郁抗焦虑药物相结合的方法配合消炎治疗,有效率为95 %。结论 慢性盆腔炎合并抑郁 焦虑情绪障碍时,采用心理疏导和抗抑郁抗焦虑药物相结合的方法配合消炎治疗,能够收到较好的治疗效果。

Objective To analyze clinical characteristic in patients of chronic pelvic inflammatory disease with depression and/or anxiety disorder and to observe therapeutic effects. Methods Eighty-six cases of chronic pelvic inflammatory disease were tested by SDS and SAS, who were treated by routine anti-inflammatory therapy and received no effects. The therapeutic method included psychological leading, anti-depression or anti-anxiety drug, and anti-inflammatory drug. Results There were 68 cases of chronic pelvic inflammatory disease suffered from depression and/or anxiety disorder. SDS and SAS values in patients of chronic pelvic inflammatory disease with depression and/or anxiety disorder were higher than that of normal person (P<0.01). SDS and SAS values in those patients who had longer period and bad marriage state were higher than those of shorter period and good marriage state (P<0.05). The effective rate of the therapy was 95% including psychological leading, anti-depression or anti-anxiety drug and anti-inflammatory drug. Conclusion Good therapeutic effects were obtained in treating patients suffered from chronic pelvic inflammatory disease with depression and/or anxiety disorder by therapy of psychological leading, anti-depression or anti-anxiety drug and anti-inflammatory drug.