面肌痉挛患者心理治疗配合生物反馈训练的研究

Psychological treatment in combination with electromyographic biofeedback on hemifacial spasm patients

目的:探讨心理治疗配合生物反馈训练对面肌痉挛患者康复的影响。方法:40例面肌痉挛患者在心理治疗基础上,配合生物反馈训练。心理治疗每周2次,每次15min。生物反馈训练每次30min,每周4次,共8周。治疗前后进行痉挛级别转化、临床疗效判定、焦虑自评量表(Self-rating Anxiety Scale,SAS)、Zung抑郁自评量表(Self-RatingDepression Scale,SDS)和健康状况调查问卷SF-36生存质量评分评定。结果:治疗后痉挛级别减轻,SAS、SDS评分、SF-36v2生存质量评分生理职能、总体健康、活力、情感职能、心理健康5个纬度与治疗前比较,差异有显著性意义(P<0.05)。结论:心理治疗配合生物反馈训练是治疗面肌痉挛的一种有价值的方法。

Objective：To study the effect of psychological treatment in combination with electromyographic biofeedback therapy on hemifacial spasm patients.Method： Fourty hemifacial spasm patients received psychological treatment and electromyographic biofeedback therapy. The effect was evaluated with the degree change of hemifacial spasm,the clinical treatment outcome,Self-rating Anxiety Scale （SAS）,Self-rating Depression Scale （SDS） and SF-36 version 2 （SF-36 version 2）.Result：After these treatments, the degree of hemifacial spasm was relleved,the scores of SAS,SDS, general health, vitality, emotional and mental health dimensions of SF-36 were increased significantly.Conclusion： Psychological treatment in combination with electromyographic biofeedback therapy was an effective way in treatment of patients with hemifacial spasm.