认知行为干预联合运动疗法对功能性消化不良患者的影响

Effects of cognitive behavior therapy combined with kinesitherapy on patients with functional dyspepsia

目的探讨认知行为干预联合运动疗法对功能性消化不良(FD)患者的影响。方法采用便利抽样法,选取在钦州市第一人民医院消化内科就诊的FD患者180例为研究对象。采用随机数字表法将患者随机分为3组:A组60例,予以抑酸、护胃、调节肠道动力及抗焦虑等常规治疗;B组60例,在常规治疗基础上给予认知行为干预治疗;C组60例,在常规治疗基础上给予认知行为干预联合运动疗法。采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、胃肠道生活质量指数(GIQLI)比较3组患者的焦虑、抑郁程度与生活质量。比较3组患者的治疗有效率。结果治疗后,3组患者HAMA得分差异无统计学意义(P>0.05);C组患者HAMD量表得分低于A组与B组,GIQLI量表得分高于A组及B组,差异均有统计学意义(P<0.05)。C组总有效率高于A组及B组,但差异无统计学意义(P>0.05)。结论认知行为干预联合运动疗法可以缓解FD患者的负性情绪,改善生活质量,值得推广使用。

Objective To explore the effects of cognitive behavior therapy(CBT)combined with kinesitherapy on patients with functional dyspepsia(FD).Methods Totally 180 FD patients who attended the Department of Gastroenterology at the First People's Hospital of Qinzhou were selected by convenient sampling and randomized divided into three groups according to the random number table:group A(n=60),which received conventional drugs to suppress acid,protect the stomach,regulate intestinal motility and combat anxiety;group B(n=60),which received CBT on the basis of routine treatment;group C(n=60),which received CBT combined with kinesitherapy on the basis of routine treatment.The Hamilton Anxiety Rating Scale(HAMA),Hamilton Depression Rating Scale(HAMD),and Gastrointestinal Quality of Life Index(GIQLI)were used to compare the anxiety,depression and quality of life among the three groups of patients.The treatment efficiency was also compared among the three groups.Results After treatment,there was no statistically significant difference in HAMA scores among the three groups(P>0.05);the HAMD score in group C was lower than that in groups A and B,and the GIQLI score was higher than that in groups A and B,with statistically significant difference(P<0.05).The total efficiency in group C was higher than that in groups A and B,but the difference was not statistically significant(P>0.05).Conclusions CBT combined with kinesitherapy can alleviate the negative emotion and improve the life of quality in FD patients,which is worth promoting in clinical practice.