躯体障碍患者持续的手术测试.docVIP

躯体化障碍患者的持续操作测验 【摘要】 目的： 探讨躯体化障碍患者的持续性注意功能。方法： 对48例符合ICD - 10躯体化障碍诊断标准的患者给予药物治疗6个月，在治疗前、后给予持续操作测验（CPT），同时测验50例正常人作为对照组。患者组的测验结果进行自身前后比较、并分别与正常对照组进行组间比较。结果： 患者组治疗前、后CPT 得分比较，在无干扰时差异无统计学意义(P＞0.05)，有干扰时差异有统计学意义(P＜0.05)。患者组治疗前CPT 得分与正常对照组组间比较，在无干扰时差异无统计学意义(P＞0.05)，有干扰时差异有统计学意义(P＜0.05)，治疗后与正常对照组比较，差异无统计学意义(P＞0.05)。结论： 躯体化障碍患者存在持续性注意功能障碍，但经过治疗可以改善。 【关键词】躯体化障碍；持续性注意功能；持续操作测验（CPT） The Continuous Performance Test（CPT） in Patients with Somatization Disorder 〔Abstract〕 Objective: To explore the continuous attention function in patients with somatization disorder . Methods: Forty-eight somatization disorder patients who met the ICD-10 were treated for 6 months, they were measured with continuous performance test（CPT） before and after therapy. and fifty healthy peoples were measured with CPT as control group .The test results of patients group were compared before and after therapy, and They were compared with the control group respectively. Results: Compared the CPT scores between patients group of before and after therapy, the significant difference wasn’t found in no interfere stimulus( P＞0.05）, but they could be found in interfere stimulus (P＜0.05). And the same results also be found between patients group of before therapy and control group. But no significant difference between patients group of after therapy and control group(P＞0.05). Conclusion: Patients with somatization disorder have continuous attention dysfunction, But the continuous attention function have improved after therapy. 〔Key words〕 somatization disorder; continuous attention function; continuous performance test（CPT） 神经认知功能包括注意、记忆和执行功能等，注意又包括选择注意、持续注意和分散注意等，持续操作测验(CPT)可以用来检测患者的持续性注意功能。 研究发现，抑郁症、焦虑症等患者存在包括注意功能障碍在内的神经认知功能障碍[1,2]，而国内外有关躯体化障碍患者的相关研究还很少。本文应用持续操作测验(CPT)对躯体化障碍患者的的持续性注意功能加以研究。 1对象与方法 1.1对象 患者组入选标准：我院2008年7月至2009年6月心身科门诊病人，符合国际疾病分类标准第10版(ICD-10) [3]和中国精神疾病分类与诊断标准第3版（CCMD-3）[4]躯体化障碍诊断标准，年龄18-60岁。排除标准：抑郁症、焦虑症、恶劣心境、应激障碍、其他神经症以及伴酒精依赖、人格障碍和严重躯体疾病者。治疗前均由家属签知情同意书。正常对照组为我院健康体检者。 1.