联合抗焦虑治疗对颈椎病伴焦虑患者疗效观察

Joint Anti-anxiety Treatment Clinical Observation in Patients with Cervical Spondylosis with Anxiety

目的:比较联合抗焦虑治疗与常规非手术治疗对颈椎病伴焦虑患者的疗效。方法:2014年2-8月共收集颈椎病伴焦虑病例124例,随机分为实验组、对照组,每组62例。对照组采用颈椎病常规非手术治疗方案,患者每日口服非甾体镇痛药物美洛昔康片7.5mg,同时给予颈椎牵引、电针等物理治疗。实验组在对照组治疗基础上联合抗焦虑药物治疗,给予黛力新(氟哌噻顿0.5mg,美利曲辛10mg)早晨及中午各1片;同时心理干预治疗。在治疗后2周及4周时观察患者颈肩部疼痛缓解情况及焦虑缓解情况,分别为两组患者行疼痛程度的视觉类比评分(VAS)及汉密尔顿焦虑量表评分(HAMA)。结果:两组患者在治疗开始后2周及4周时其VAS评分及HAMA评分的差异均有统计学意义(P<0.05),实验组患者在VAS评分及HAMA评分上均优于对照组。结论:联合抗焦虑治疗在治疗颈椎病伴焦虑患者时可获得更好的治疗效果。

Objective ：Compared with conventional non‐surgical joint anti‐anxiety treatment and curative effect for the treatment of patients with cervical spondylosis with anxiety .Methods ：From February 2014 to August 2014 ,altogether collected cases of cervical spondylosis with anxiety of 124 cases were randomly divided into experimental group and control group ,62 cases in each group .Control group ,the use of conventional non‐surgical treatment cervical spondylo‐sis .Patients daily oral non‐steroidal analgesic drugs ,while giving traction ,including physical therapy ,etc .The experi‐mental group ,on the basis of the treatment in the control group ,the joint given anti‐anxiety drugs .At the same time psychological intervention treatment .In 2 weeks and 4 weeks after treatment in patients with neck shoulder pain relief , and relieve anxiety ,respectively for the two groups of patients pain degree of visual analogue scale （VAS） and Hamil‐ton anxiety rating scale （HAMA） .Results ：Two groups of patients 2 weeks and 4 weeks after the therapy began when the VAS score and HAMA score difference had statistical significance （P〈 0 .05） .Experimental patients in VAS scores and HAMA scores were better than the control group .Conclusion ：Joint anti‐anxiety and psychological intervention therapy in the treatment of cervical spondylosis with anxiety patients can obtain better treatment effect .