心理干预对体部伽玛刀治疗中惊恐发作的效果

Effect of psychological therapy on the panic attack of patients with body gamma-knife treatment

目的探讨患者在体部伽玛刀治疗中惊恐发作的原因及进行心理干预的方法，以增强患者战胜疾病的信心，保障患者完成伽玛刀治疗计划。方法应用认知疗法、放松疗法、心理疏导对36例伴有惊恐发作的癌症患者进行综合性心理治疗，对治疗前、后焦虑量表（SAS）进行测评。结果通过心理干预,33例（91.7%）患者顺利完成伽玛刀治疗计划，治疗后SAS分值均明显降低［（57.00±6.49）比（63.75±6.35）］，差异有统计学意义（t=3.878，P〈0.05）。结论伽玛刀治疗中进行综合性心理干预可以有效防治惊恐发作。

Objective To explore the cause of panic attack during body gamma-knife treatment in patients with cancer and the methods of psychological intervention, so as to improve the patients＇ confidence and ensure their gamma-knife treatment successfully. Methods Comprehensive psychological treatment was adopted, including cognitive therapy, relaxation therapy and psychological counseling, and 36 cases complicated with panic attack were received, before and after the intervention, they were evaluated by the self-rating anxiety scale （SAS）. Results Thirty-three cases （91.7%） complicated with panic attack successfully completed gamma-knife treatment after psychological therapy. The SAS score was significantly decreased compared to that before therapy （ t = 3. 878, P 〈 0. 05 ）. Conclusions Comprehensive psychological therapy can effectively prevent and cure panic attack during gamma-knife treatment.