中医认知疗法对功能性消化不良的疗效.docVIP

中医认知疗法对功能性消化不良的疗效 　　[摘要] 目的 探?中医认知疗法对功能性消化不良（FD）患者的疗效。 方法 将2015年6月～2016年6月至滁州市第一人民医院门诊就诊的84例FD患者，依照就诊时间随机分为两组。观察组42例和对照组42例，对照组给予常规中医治疗，观察组同时给予认知行为干预，6周为一疗程。治疗前后，两组分别进行症状积分评定，焦虑自评量表（SAS）、抑郁自评量表（SDS）和治疗依从性的评分测定，再统计分析两组治疗结果。 结果 观察组与对照组相比，治疗有效率为88.09% vs 64.28%，复发率8.1% vs 44.44%，依从性提高率：33.33 % vs 11.85%，差异具有统计学意义（P 　　[关键词] 功能性消化不良；认知；行为干预；中医 　　[中图分类号] R259 [文献标识码] A [文章编号] 1673-7210（2017）02（a）-0078-04 　　Effect of traditional Chinese medicine cognitive therapy on functional dyspepsia 　　CHEN Xiaojie1 YANG Yunfeng2 　　1.Department of Traditional Chinese Medicine， the First Peoples Hospital of Chuzhou City， Anhui Province， Chuzhou 239000， China； 2.Fenglin Community Health Service Center， Xuhui District， Shanghai City， Shanghai 200030， China 　　[Abstract] Objective To discuss the effect of traditional Chinese medicine cognitive therapy on functional dyspepsia. Methods 84 patients with functional dyspepsia （FD） in the First Peoples Hospital of Chuzhou from June 2015 to June 2016 were randomly divided into two groups. The observation group were forty-two cases， the control group were forty-two cases. The observation group were treated with Chinese medicine intervention program combined with cognitive-behavioral intervention， while the control group was treated with traditional Chinese medicine only， 6 weeks for a course. Before and after the treatment， self-rating anxiety scale（SAS）， self-rating depression scale（SDS），symptom score and treatment compliance were measured ， treatment results of the two groups were statistical analyzed. Results Compared with the control group， the treatment of the effective rate was 88.09% vs 64.28%， the recurrence rate of 8.1% vs 44.44%， the compliance increase rate of 33.33 % vs 11.85%， the difference was statistically significant （P 　　功能性消化不良（FD）是临床上常见的消化系统疾病之一，全球成人未经检查的消化不良发病率达20.8%，国内以消化不良为主诉的患者占消化门诊的52.85%，而符合罗马Ⅲ标准者占就诊者的28.5% [1]。大量文献研究表明，功能性消化不良疾病与患者的精神心理因素密切相关，治疗应考虑生理和心理因素[2]。中医辨证过程实际上是医生有意识地运用中医药理论知识和临床经验， 对患者所表现的症状信息进行一系列连续加工的认知