认知行为和抗焦虑治疗焦虑障碍随机对照研究.docVIP

认知行为和抗焦虑治疗焦虑障碍随机对照研究 　　[摘要] 目的 对焦虑患者应用3种疗法，探讨其临床疗效。方法 方便选取兰州市第三人民医院精神科2016年6―12月门诊和住院治疗的126例患者，随机分为认知组（A组）、抗药物组（B组）及结合组（C组），治疗10周并随访5个月。并分别于治疗前、治疗后和随访末进行汉密顿焦虑量表、功能大体评定量表评定。 结果 治疗与随访结束后，结合组患者治疗有效率为100.00%，显著高于认知组与药物组。HAMA结合组治疗后（5.56±3.27）分、随访后（3.05±1.57）分，差异有统计学意义（P0.001）；GAF结合组治疗后（73.36±6.09）分、随访后（79.67±3.65）分，差异有统计学意义（P0.001）；LSR结合组治疗后（10.13±1.88）分、随访后（16.88±1.03）分，差异有统计学意义（P0.001），各项皆优于其他两组。结论 结合组的治疗显示出明显优势，值得在临床上推广治疗。 　　[关键词] 焦虑障碍；认知行为治疗；药物治疗 　　[中图分类号] R749 [文献标识码] A [文章编号] 1674-0742（2018）02（c）-0085-03 　　A Randomized Controlled Study of Cognitive Behavioral and Anti-anxiety Therapy Anxiety Disorders 　　WU Qi1， ZHANG Xiao-juan2 　　1.Psychiatry Department， the Third Peoples Hospital of Lanzhou City， Lanzhou， Gansu Provice， 730050 China； 2. Chinese Medicine Department， the Third Peoples Hospital of Lanzhou City， Lanzhou， Gansu Provice， 730050 China 　　[Abstract] Objective This paper tries to study the clinical effect of three kinds of therapy for anxious patients. Methods 126 outpatients and hospitalized patients between June and December 2016 were convenient selected and randomized into cognitive group（group A）， anti-drug group （group B）and combination group （group C）for 10 weeks and followed up for 5 months. The Hamilton Anxiety Scale and General Function Scale were evaluated before treatment， after treatment and at the end of follow-up. Results After treatment and follow-up， the effective rate of treatment in combination group was 100.00%， which was significantly higher than that in cognitive group and drug group. HAMA combined group therapy （5.56±3.27）points and followed up （3.05±1.57）points，the difference was statistically significant（P0.001）； GAF combined group therapy （73.36±6.09）points and followed up （79.67±3.65）points，the difference was statistically significant（P0.001）. LSR combined group therapy （10.13±1.88）points and follow-up （16.88±1.03）points，the difference was statistically significant（P0.001） were better than the other two groups. Conclusion C