毒性弥漫性甲状腺肿心理干预的临床疗效观察

The efficacy of psychological intervention on graves disease

目的 评价心理干预在 Graves病的治疗中的必要性。方法 86例病人分成常规药物组和药物加心理干预组 ,于疗前及治疗 4周后测体重、心率、T3、T4,评价精神症状 ,随访 2年调查其脱落情况、反复情况等。结果 干预组的体重增加、症状改善、T3、T4正常率均高于常规组 ,有显著性差异。干预组的治疗顺应性好、复发率低、治疗完成好。结论 心理干预可提高 Graves病患者自身的防病能力 ,并有效降低复发率而缩短病程 。

Objective To evaluate the efficacy of the psychological intervention on the treatment of Graves disease. Methods 86 Graves disease cases were grouped. Their weight, heart rate ,T 3 and T 4 and their clinical mental symptom were observed before and after therapy 4 weeks. All the cases are followed up for 2 years. Results The patients who received psychological intervention increased their weight , alleviated their mental symptom (especially , bad temper, anxiety and sensitive heart),improved their T 3 and T 4. Meanwhile , those who received psy chological intervention have higher therapy compliance, lower relapse rate. Conclusion The psychological intervention on Graves disease can improve the patients' capability of defending disease, decrease the relapse rate, short time of treatment.