颈椎病患者心理障碍研究

Analysis on Psychological Obstacles of Patients with Cervical Spondylosis

目的探讨颈椎病患者的心理问题及心理治疗对颈椎病疗效的影响。方法将71例颈椎病患者随机分为试验组32例(手法治疗的同时配合心理治疗)和对照组39例(单纯手法治疗),在初诊和治疗后4周对患者的躯体化和心理症状采用临床精神卫生症状自评量表(SCL-90)和颈椎病治疗疗效评定标准进行评估。结果治疗前两组患者的躯体化和心理评定差异无显著性意义;治疗4周后两组患者的躯体化和心理症状均有所改善,但试验组疗效优于对照组(P<0.05)。结论颈椎病患者因病程较长均有不同程度的心理障碍,辅助心理治疗可提高疗效。

Objective To investigate the mental health status of patients with cervical spondylosis and the curative effect of psychotherapy. Methods 71 patients of cervical spondylosis with psychological obstacles were randomly divided into the experiment group （32 cases, treated by physiotherapy combined with psychotherapy simultaneously） and control group （39 cases, treated by physiotherapy only）. The patients somzatization and mental health status were evaluated by the Symptom Checklist-90 （SCL-90） and the table of curative effect estimation of cervical syndrome before and four weeks after treatment. Results There was no signifi- cant difference between two groups in the degrees of somzatization and scores of SCL-90 before treatment. After four weeks treat- ment, both two groups had improvement in the physical symptom and psychological condition, but the curative effect of the experiment group was better than the control group （ P 〈0.05）. Conclusion Because having a long disease course, the patients with cervical spondylosis have different level mental health troubles. Psychotherapy is helpful to improve curative effect.