物理因子联合氟哌噻吨美利曲辛及心理干预治疗颈肩腰腿痛伴焦虑、抑郁疗效观察

Clinical Observation on Physical Factors Combined with Flupentixol and Melitracen and Psychological Intervention in the Treatment of Cervical-Shoulder and Lumbodorsal Pain Complicated with Anxiety and Depression

目的探讨物理因子联合氟哌噻吨美利曲辛及心理干预治疗颈肩腰腿痛伴焦虑、抑郁的临床疗效。方法选取保定市传染病医院2016年5月至2017年5月进行物理因子治疗的颈肩腰腿痛伴焦虑、抑郁患者96例,按随机数字表法分为观察组与对照组,各48例。对照组患者采用单纯物理因子治疗,观察组患者在此基础上加用氟哌噻吨美利曲辛及心理干预治疗,两组均治疗7周。结果治疗后,观察组患者简明健康调查量表(SF-36)中各项评分均高于对照组(P <0. 05);两组患者汉密尔顿抑郁量表(HAMD)及视觉模拟评分(VAS)均显著降低,且观察组低于对照组(P <0. 05);观察组总有效率明显高于对照组(97. 92%比87. 50%,P <0. 05);观察组患者疼痛消失时间明显短于对照组(P <0. 05);两组患者均无明显不良反应(P> 0. 05)。结论物理因子联合氟哌噻吨美利曲辛及心理干预治疗颈肩腰腿痛伴焦虑、抑郁的临床疗效确切,安全可靠,可有效改善颈肩腰腿痛患者的焦虑、抑郁状态和健康状况,减轻临床症状及疼痛感。

Objective To investigate the clinical effect of physical factors combined with flupentixol and melitracen and psychological intervention in the treatment of cervical-shoulder and lumbodorsal pain complicated with anxiety and depression. Methods Totally 96 patients with cervical-shoulder and lumbodorsal pain complicated with anxiety and depression were treated by physical factors from May 2016 to May 2017 in Baoding Infectious Disease Hospital,they were selected and divided into the observation group and the control group according to the random number table method,48 cases in each group. The control group was treated with physical factors,on this basis,the observation group was treated with flupentixol and melitracen and psychological intervention. The two groups were treated for 7 weeeks. Results After treatment,the scores of all the items in SF-36 scale in the observation group were higher than those in the control group( P < 0. 05). The scores of HAMD and VAS in the two groups were significantly decreased,and those in the observation group were lower than those in the control group( P < 0. 05). The total effective rate of the observation group was significantly higher than that of the control group( 97. 92% vs. 87. 50%,P < 0. 05). The time of pain disappearance in the observation group was significantly shorter than that in the control group( P < 0. 05). There was no significant adverse reaction in the two groups( P > 0. 05).Conclusion Physical factors combined with flupentixol and melitracen and psychological intervention is accurate, safe and reliable in the treatment of cervical-shoulder and lumbodorsal pain complicated with anxiety and depression,it can effectively improve the anxiety,depression and health status of patients with cervical-shoulder and lumbodorsal pain,and alleviate clinical symptoms and pain.