认知行为疗法治疗非淋菌性尿道炎(宫颈炎)伴情绪障碍患者的临床研究

Influence of Cognitive Behavior Therapy on the Quality of Life in Patients with Nongonococcal Urethritis(Cervicitis) and Emotional Disorders

目的探讨认知行为疗法对非淋菌性尿道炎(宫颈炎)伴情绪障碍患者的临床疗效及生活质量的影响。方法选择60例非淋菌性尿道炎(宫颈炎)伴情绪障碍患者。随机分为两组,对照组30例给予左氧氟沙星胶囊和阿奇霉素片口服,疗程2周;治疗组30例在左氧氟沙星和阿奇霉素口服治疗的基础上给予认知行为治疗,疗程2周。观察治疗前后两组患者的临床症状、情绪状态(汉密尔顿焦虑/抑郁量表HAMA/HAMD)及生活质量(生活质量指数问卷QL-Index)评分。结果2周后,患者临床症状改善治疗组(有效率为93.33%)优于对照组(有效率为73.33%),P<0.05;HAMA/HAMD评分治疗组(5.36±1.25/5.76±1.30)明显低于对照组(7.56±1.67/7.90±1.71),P<0.05;生活质量评分治疗组(总指数8.62±1.49)明显高于对照组(总指数7.58±1.41),P<0.05;以上结果有统计学意义。结论认知行为疗法能明显提高非淋菌性尿道炎(宫颈炎)伴情绪障碍患者的临床疗效及生活质量,改善患者的情绪状态,临床医生应注意学习心理治疗。

Objective To study the therapeutic effect of cognitive behavior therapy on the quality of life in patients with NGU and emotional disorders. Methods A total of 60 NGU patients were randomly classified into sulfasalazine group（control group,n = 30） and group with cognitive behavior therapy combination levofloxac in hydroehloride capsules and azithromycin dispersible tablets（therapy group, n = 30）. Clinical symptoms, endoscopical findings, emotional state（HAMA/HAMD ） and the quality of life（QL-Index）were evaluated 2 weeks after treatment. Results Compared with those of group with cognitive behavior therapy combination sulfasalazine,clinical symptom （93.3%vs73.3%） in sul fasalazine group was significantly improved（P〈 0.05）, and the quality of life [（8.62 ± 1.49） vs （7.58 ± 1.41 ）] and emotional state [（5.36 ± 1.25/5.76 ± 1.30） vs （7.56 ± 1.67/7.90 ± 1.71 ）] was improved significantly（P〈 0.05）. The Result has a certain statistics meaning. Conclusion Cognitive behavior therapy indeed can elevate the therapeutic effect and quality of life, and imp rove emotional state of the patients with NGU andemotional disorders. A clinical medicine must study psychotherapy