精神心理因素在反流性食管炎治疗中的影响

Efficacy of mentality on reflux esophagitis

目的:探讨精神心理因素对反流性食管炎的影响机制、二者之间的相关性以及精神心理因素在反流性食管炎治疗中的临床应用。方法:通过临床观察系统分析反流性食管炎的病因病机,并对临床中搜集的数据进行整理分析,以汉密尔顿焦虑量表与汉密尔顿抑郁量表的评定来比较说明精神心理因素干预治疗反流性食管炎是否可提高疗效。结果:运用精神心理疏导,必要时配合药物治疗可以达到临床治愈的效果。结论:解决精神心理异常在反流性食管炎的治疗中起关键性作用,因此积极地对反流性食管炎患者进行精神心理因素方面的疏导与干预,能够提高临床疗效。临床医师需要认识到二者之间的普遍性和重要性,及时发现躯体症状背后潜藏的精神心理问题,综合运用各种心理干预和药物治疗手段。

Objective： To explore effcacy of mentality on relfux esophagitis, relationship and application. Methods： Etiology and pathogenesis of relfux esophagitis were analyzed based on clinical observation. Data was observed and analyzed. Effcacy of mentality on relfux esophagitis was evaluated by HAMA and HAMD. Results： Application of the mentality therapy and medicine when necessary in treating relfux esophagitis can receive a good effect. Conclusion： Mentality was the key to treating relfux esophagitis. So positive mentality was very important, and could improve efficacy. Universality and importance of relationship between mentality and reflux esophagitis should be pay more attention by clinical doctors. Psychological intervention and medicine should be given reasonably.