药物联合心理治疗模式对驻训官兵急性高原病后过度心理应激的效果观察

Effect Observation of Pharmacotherapy Combined with Psychotherapy in Treatment of Post-AHAD Excessively Psychological Stress in PLA Officers and Soldiers during Plateau Training

目的观察药物联合心理治疗对高原驻训官兵急性高原病(AHAD)后过度心理应激的效果。方法选择2015年7—8月某部AHAD致过度心理应激患者30例,采取个性化药物联合心理治疗模式。分别于治疗1、7、14和21 d进行心理应激自评问卷(PSET)测试,评价治疗效果。结果 30例均病愈顺利归队。治疗7 d时PSET部分题目得分及总均分与治疗1 d比较即有明显改善(P<0.05)。治疗14 d后心理应激症状已基本缓解,PSET大部分题目得分及总均分较治疗7 d时显著降低(P<0.05)。结论对高原驻训官兵AHAD后过度心理应激采取药物联合心理治疗模式效果较好。

Objective To investigate the effect of pharmacotherapy combined with psychotherapy in treatment of post-acute high altitude disease （AHAD） excessively psychological stress in PLA officers and soldiers during plateau training. Methods A total of 30 PLA officers and soldiers with excessively psychological stress induced by AHAD in some troops from July to August 2015 were treated with individualized pharmacotherapy combined with psychotherapy. Psychological stress self-evaluation test （PEST） was performed on the 1^st , 7^th , 14^th and 21^st d of treatment for evaluating the treatment outcomes. Results All the 30 patients were cured and returned to their units. The total PEST score and scores of part of questions on 7^th d of treatment were significantly improved, compared with that on 1 ^st d of treatment （P 〈 0.05 ）. On 14^th d of treatment, the symptoms of psychological stress were basically relieved, and the scores of main questions and total PEST score were significant lower, compared with that on 7^th d after admission （P 〈 0.05）. Conclusion The pharmacotherapy combined with psychotherapy in treatment of post-AHAD excessively psychological stress in PLA ofricers and soldiers during plateau training has better effect.