文化治疗对与文化相关精神障碍影响的临床对照研究

Effect of national cultural therapy on the culture- related mental disorders

目的比较本民族文化治疗方法与临床常规治疗在与文化相关精神障碍治疗中的效果差异。方法搜集来自同一文化背景下的两组（观察组n=15；对照组n=11）与文化相关精神障碍样本，两组样本一般资料、诊断、文化生活环境配比平衡（P均〉0．05）；观察组采取由本文化背景下的非医疗专业人员施行类似暗示治疗的“文化治疗”；对照组采取由医疗专业人员常规治疗；观察两组样本的临床缓解率、复发率、药物副作用发生率、单次病程天数、治疗费用差异。结果两组完全达到临床痊愈；均未发生药物副反应；两组样本在病程（观察组：10．93±8．06，对照组：14．36±9．06，t=-1．02，P=0．32）和复发次数上（观察组1例次，对照组5例次，Fisher确切概率法求得P=0．054）的差异均无统计学意义；观察组未发生治疗费用，对照组住院费用为（1645．72±613．45）元。结论在与文化相关精神障碍的治疗效果上，由本文化治疗者采取的文化治疗与临床常规治疗并无差异，但由本文化治疗者采取的文化治疗在治疗费用上更为经济，应当作进一步研究。

Objective To compare effects of national cultural and clinical conventional therapies on culture--related mental disorders. Methods Patients of two groups （observational group n = 15, control group n = 11） were collected according to the same cultural backgrounds, the general data, diagnoses and living backgrounds were balanced （P 〉 0, 05）. National cultural therapy which is similar to suggestion was adopted to the patients in observational group by witch doctors, while clinical conventional treatment was applied to the control group by professional doctors. The difference in clinical curing ratio, recrudescence ratio, sideeffects ratio, course of disease and costs between two groups was observed. Results The patients in the two groups were all clinical recovery, no side--effects were found in both groups, no significant difference was found in recrudescence ratio and course of disease between the two groups （per P 〉 0.05）. Regarding to the cost, patients in the observational group did not pay anything for their treatment, while the patients in the control group spent（1 645.72±613.45）Chinese yuan on the treatment. Conclusions The national cultural therapy and clinical conventional therapy are both effective for culture--related mental disorders, while the national cultural therapy has economic advantages, the national cultural therapy should be further investigated.