银屑病患者的社会心理因素调查及干预措施

Investigation on social psychological factor of the patients with psoriasis and the intervention treatment

目的 探讨影响银屑病患者心理健康状况的社会因素并给予干预治疗.方法 选择80例银屑病患者,随机分成对照组和实验组各40例,分别对两组患者进行疗程1个月的银屑病常规治疗,实验组合并心理干预及抗抑郁药物治疗.对所有人组人员进行一般状况、抑郁自评量表（SDS）、焦虑自评量表（SAS）的问卷调查.治疗后每周进行SDS、SAS的重复测量.结果 实验组痊愈1例,显效9例,有效26例,总有效率90%;对照组显效5例,有效22例,总有效率67.5%,实验组银屑病治疗效果明显优于对照组,差异有统计学意义（χ2=7.85,P〈0.01）,同时两组SDS、SAS的评分差异有统计学意义（P〈0.01）.结论 心理干预和抗抑郁治疗对银屑病的恢复有效,为银屑病的治疗开辟了新的途径.

Objective To explore the mental health of patients with psoriasis and social factors for intervention. Methods 80 patients from the first affiliated hospital of harbin medical university Jan 2008to Dec 2009 and diagnosed psoriasis. Randomly divided into control group and patient group, two groups of patients on treatment were one month of conventional treatment of psoriasis, the patient mix and psychological intervention and antidepressant drug treatment. Personnel into the group of all the general conditions, depression self-assessment forms, self-rating anxiety scale questionnaire. After treatment, weekly self-rating depression scale, self rating anxiety scale of the repeated measure. Results The patients were cured in 1 case, 9 cases were markedly effective in 26 cases, 90% of the total effective. The control group that were 5 cases, 22 cases, the total efficiency of 67.5% , psoriasis patients were treated better than the control group（P〈0.01）. Depression self-assessment form in two groups, self rating anxiety scale scores were significantly different （P 〈 0.01）. Conclusions The recovery of antidepressant treatment on psoriasis and effective for the treatment of psoriasis has opened up new avenues.