心理治疗对寻常型银屑病患者临床疗效及生活质量的研究

The study on effect of psychotherapy on clinical efficacy,quality of life of patients with psoriasis vulgaris

目的通过研究心理治疗对寻常型银屑病患者临床疗效、生活质量、心理因素的影响,为银屑病的发生发展与社会心理因素的关系寻找理论依据,并为银屑病的临床心理治疗提供科学依据。方法治疗前后对患者分别进行PASI评分;皮肤病生活质量指数量表(DLQI)、焦虑自评量表(SAS)及抑郁自评量表(SDS)的评定。结果临床疗效:治疗后两组评分均下降,心理组PASI(3.21±3.34)、DLQI(7.30±3.69)、SAS(40.81±7.63)、SDS(41.52±8.49)各项评分均低于一般组PASI(8.78±6.07)、DLQI(11.70±5.52)、SAS(41.05±9.57)、SDS(48.45±7.10)的评分。治疗后总有效率心理组(82%)明显高于一般组(15%)。结论心理治疗能有效提高寻常型银屑病患者的临床疗效、生活质量,改善患者的情绪状态。

Objective To find relationship between psoriasis factors and provide a scientific basis of psychotherapy in psoriasis,the study on effect of psychotherapy on clinical efficacy,quality of life of patients with psoriasis vulgaris was carried.Methods Patients with psoriasis were evaluated by PASI score before and after treatment;patients with psoriasis evaluated dermatology life quality index(DLQI) score,self-rating anxiety scale(SAS) score and depression self-rating scale(SDS) score before and after treatment.Results Clinical efficacy: after treatment,the scores were decreased,there were significant difference between psychological group(PASI(3.21 ± 3.34),DLQI(7.30 ± 3.69),SAS(40.81±7.63),SDS(41.52 ± 8.49)) and the general group(PASI(8.78 ± 6.07),DLQI(11.70 ± 5.52),SAS(41.05±9.57),SDS(48.45 ± 7.10).The total effective psychological treatment group(82%)was significant higher compared with the general group(15%).Conclusion Psychological treatment can be effective in patients with psoriasis improve the clinical efficacy,improve the quality of life,improve patients with emotional state.