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目的探讨FD联合心理精神治疗的合理治疗方案及疗效。方法对临床确诊的150例FD患者以先后秩序随机交叉分为三组,分别采用常规治疗和常规治疗加两种不同治疗剂量的心理精神联合治疗;并将三组治疗后的有效率、复发率和不良反应的发生率进行统计学处理。结果两治疗组有效率分别为88%/90%例,对照组有效率58%;疗效有显著差异(P<0.05);三组的复发率无显著差异(P>0.05)。两治疗组病人在两种不同治疗剂量抗抑郁治疗后出现的六项不良反应观察指标中,四项有显著差异(P<0.05～0.01)。结论FD联合心理精神治疗方案的确能提高FD患者的治疗效果;不同治疗剂量的抗抑郁治疗后出现的不良反应的发生率有显著差异,以小剂量为佳。
Objective To explore the reasonable treatment and efficacy of FD combined psycho-mental therapy. Methods A total of 150 patients with FD diagnosed clinically were randomly divided into three groups according to the sequence order. The patients were treated with routine therapy and conventional therapy plus two different therapeutic doses of psychotherapy and psychotherapy. The three groups were treated with effective rate and recurrence rate And the incidence of adverse reactions for statistical analysis. Results The effective rates of the two treatment groups were 88% and 90% respectively, and the control group was 58%. The curative effect was significantly different (P <0.05). There was no significant difference between the three groups (P> 0.05). There were significant differences in the four adverse reactions observed in the two treatment groups between the two treatment doses of antidepressant treatment (P <0.05-0.01). Conclusion FD combined psycho-psychiatric therapy can indeed improve the treatment effect of FD patients. The incidence of adverse reactions after antidepressant treatment with different therapeutic doses is significantly different, with a small dose is better.