功能性消化不良患者精神心理因素测评与心理干预治疗的研究

The Study of the Measurement and Assessment on Psycho-mental Factors and the Psychological Interventional Treatment for the Functional Dyspepsia Patients

目的探讨功能性消化不良(FD)与精神心理因素的关系,并观察心理干预在FD治疗中的作用。方法对256例FD患者使用抑郁自评量表(SDS)、焦虑自评量表(SAS)进行精神心理测评,将测评异常的158例FD患者随机分为2组,每组79例。对照组给予莫沙必利抗消化不良治疗,治疗组在此基础上加用黛力新,并给予心理干预,6周后观察两组疗效。结果 FD患者抑郁、焦虑情绪发生率显著高于我国常模水平(P<0.05);治疗组总有效率显著高于对照组(P<0.05)。结论 FD患者存在明显的抑郁和焦虑精神心理障碍,在常规抗消化不良治疗的基础上给予心理干预可明显提高疗效。

Objective To investigate the relationship between the functional dyspepsia(FD) and the psycho-mental factors,furthermore,observer the effect of psychological interventional on the FD treatment.Methods 256 patients with FD were randomly measured and assessed on the psycho-mental factors with the self-rating depression scale(SDS) and the self-rating anxiety scale (SAS),then compared the result with our government standard norm.Then the 158 patients with abnormal the psycho-mental result were randomly divided into two groups,each group consists of 79 patients. The control group were only administered with mosapride,while the experimental group were not only treated with same dosal mosapride,also with Deanxit,and the psychological interventional treatment were also applied. after six weeks treaments,the curative effect were compared between two groups.Results The incidence rate of depression and anxious emotion of the functional dyspepsia patients were higher than the government standard norm.There were significant difference(P<0.05).while the total effective power of experiment group were higher than the control group.There showed significant difference(P<0.05). Conclusions Functional dyspepsia patients showed eveidently depressional and anxious emotional psycho-mental obstacle,the psychological interventional treatment could evidently raised the curative effect based on routine method treatment.