心理干预联合药物治疗在功能性胃肠病患者中临床应用及安全性研究.docVIP

心理干预联合药物治疗在功能性胃肠病患者中临床应用及安全性研究 　　[摘要] 目的 分析功能性胃肠病患者联合采用药物治疗以及心理干预措施的临床效果及安全性。方法 方便选取2014年2月―2016年2月该院收治的78例功能性胃肠病患者按照不同的治疗方式随机分为对照组（单独采用药物治疗）和干预组（在对照组基础上配合心理干预措施），采用抑郁自评量表（SDS）、焦虑自评量表（SAS）评价两组患者治疗前后抑郁、焦虑等情况，比较两组治疗效果。结果 干预组患者治疗总有效率（89.7%）相对于对照组（74.4%）显著升高（P0.05），治疗后两项评分均有所减少（P0.05）。 结论 功能性胃肠病患者联合采用药物治疗以及心理干预的临床效果良好，值得推广应用。 　　[关键词] 功能性胃肠病；药物治疗；心理干预；临床应用；安全性 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）05（b）-0159-03 　　[Abstract] Objective To analyze the clinical effect and safety of mental intervention measures combined with drug therapy in patients with functional gastrointestinal disorder. Methods 78 cases of patients with functional gastrointestinal disorder treated in our hospital from February 2014 to February 2016 were randomly divided into two groups according to the different treatment methods， the control group were treated with single drug therapy， the interventional group were treated with mental intervention measures on the basis of the control group， and the depression and anxiety of the two groups before and after treatment were evaluated according to the self-rating depressive scale and self-rating anxiety scale， and the treatment effects were compared between the two groups. Results The treatment total effective rate in the interventional group obviously increased compared with that in the control group， （89.7% vs 74.4%）， P0.05， and the two scores decreased after treatment， P0.05. Conclusion The clinical effect of mental intervention combined with drug therapy in treatment of patients with functional gastrointestinal disorder is good， which is worth promotion and application. 　　[Key words] Functional gastrointestinal disorder； Drug therapy； Mental intervention； Clinical application； Safety 　　功能性胃肠病是临床较为常见的一种消化道疾病，病因相对比较复杂，和肠道感染、胃肠动力障碍、环境、心理以及遗传等因素都有一定联系[1]。一般该种疾病患者临床症状反复，临床检查过程中不会发现器质病变，因此治疗难度较大。临床很多学者研究表明[2-3]，功能性胃肠病患者往往会伴有焦虑、抑郁等心理障碍，患者的生活质量较差[2]。为了提高患者治疗效果，改善患者生活质量，该文对比分析了2014年2月―2016年2月该院78例功能性胃肠病患者分别单独采用药物治疗以及联合心理干预的临床效果，现报道如下。 　　1 资料与方法