生物反馈治疗对强迫症患者认知功能影响.docVIP

生物反馈治疗对强迫症患者认知功能影响 　　[摘要]目的 探讨生物反馈治疗对强迫症患者认知功能的影响。方法 选取2014年5月～2015年5月在我院就诊的60例强迫症患者作为研究对象，按随机数字表法将其分为对照组、观察组，每组30例。对照组患者给予该病常规药物治疗，观察组在对照组治疗基础上加用生物反馈治疗。两组患者研究周期均为12周。治疗结束后，评定两组患者的认知功能。结果 两组患者治疗前的记忆力、注意力以及执行功能相关指标比较，差异无统计学意义（P0.05）。两组患者组内治疗前后的上述指标比较，差异有统计学意义（P0.05）。结论 生物反馈联合常规药物治疗强迫症具有良好的临床效果，可有效改善患者的认知功能，值得临床推广应用。 　　[关键词]生物反馈；强迫症；认知功能；临床价值 　　[中图分类号] R749 [文献标识码] A [文章编号] 1674-4721（2017）12（a）-0052-03 　　[Abstract]Objective To explore the influence of biofeedback therapy on cognitive function in patients with obsessive compulsive disorder.Methods 60 patients with obsessive compulsive disorder treated in our hospital from May 2014 to May 2015 were selected as the research object and they were divided into the control group and observation group according to the random number table method，and there were 30 cases in each group.The control group was given routine treatment，while the observation group was treated with biofeedback therapy on the basis of the control group.The study cycle of the two groups was 12 weeks.After treatment，the cognitive function of the two groups was evaluated.Results There was no statistical difference of the related indexes of memory，attention and executive function inpatients between the two groups before treatment （P0.05）.There was a statistical difference of above-mentioned indexes before and after treatment within the two groups （P0.05）.Conclusion Biofeedback combined with conventional medication in treatment of obsessive compulsive disorder has good clinical effect and can effectively improve the cognitive function of patients，which is worthy of clinical promotion and application. 　　[Key words]Biofeedback；Obsessive compulsive disorder；Cognitive function；Clinical value 　　??迫症属于焦虑障碍的一种类型，是一种主要临床表现为强迫思维以及强迫行为的神经精神疾病[1-2]。生物反馈是通过电子仪器设备反映个体未察觉到的一些心理、生理过程，并使之能够被有意识地控制。这就是说，给个体一个自己的生理反应的信息，如肌紧张、皮温、脑电波、皮电反应、血压和心率，这些信息的反馈能够使个体成为一个调节自我、维护健康的积极参与者[3]。近年来，生物反馈作为一种行为疗法已被广泛应用于临床，可以借助其进行治疗干预的疾病包括原发性高血压病、糖尿病、难治性癫痫、多动症、脑卒中康复、神经症、大小便功能障碍等[4]。为了探讨生物反馈