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目的探讨功能性消化不良(FD)与精神心理因素的关系,并观察心理干预在FD治疗中的作用。方法对256例FD患者使用抑郁自评量表(SDS)、焦虑自评量表(SAS)进行精神心理测评,将测评异常的158例FD患者随机分为2组,每组79例。对照组给予莫沙必利抗消化不良治疗,治疗组在此基础上加用黛力新,并给予心理干预,6周后观察两组疗效。结果 FD患者抑郁、焦虑情绪发生率显著高于我国常模水平(P<0.05);治疗组总有效率显著高于对照组(P<0.05)。结论 FD患者存在明显的抑郁和焦虑精神心理障碍,在常规抗消化不良治疗的基础上给予心理干预可明显提高疗效。
Objective To explore the relationship between functional dyspepsia (FD) and mental and psychological factors and to observe the role of psychological intervention in the treatment of FD. Methods A total of 256 patients with FD were evaluated by SDS and SAS, and 158 patients with abnormal FD were randomly divided into two groups (n = 79). The control group was given mosapride anti-dyspepsia treatment, the treatment group on the basis of the use of Deanxit and psychological intervention, 6 weeks after the two groups were observed. Results The incidence of depression and anxiety in FD patients was significantly higher than that in China (P <0.05). The total effective rate in treatment group was significantly higher than that in control group (P <0.05). Conclusion There are obvious depression and anxiety mental disorders in FD patients. Psychological intervention based on conventional anti-dyspepsia treatment can significantly improve the efficacy.