功能性消化不良合并抑郁焦虑患者的临床心理干预及其效果

目的 探讨心理干预在功能性消化不良(FD)合并抑郁焦虑治疗中的作用.方法 将96例FD合并抑郁焦虑患者随机分为常规治疗组(对照组)和常规治疗加心理干预组(治疗组),每组各48例,对照组给予抗消化不良治疗,治疗组在此基础上结合心理干预治疗.治疗前后对两组患者进行抑郁自评量表(SDS)和焦虑自评量表(SAS)评分,并计算FD症状积分,对两组疗效及评分进行比较.结果 治疗组FD总有效率为83.33%(40/48),对照组FD总有效率为45.83%(22/48),两组比较差异有统计学意义(X~2=17.20,P<0.01);治疗组FD症状积分和SAS、SDS评分均明显好于对照组,差异有统计学意义(P<0.05);治疗组的SAS、SDS评分较治疗前有显著降低,而对照组改变不明显.结论 心理干预能明显改善FD合并抑郁焦虑患者的消化不良症状和抑郁焦虑症状.

Psychological intervention and its effects in patients with functional dyspepsia combined with depression and anxiety

Objective To explore the effect of psychological intervention in treating functional dyspepsia (FD) combined with depression and anxiety. Methods Ninety-six patients with FD combined with depression and anxiety were randomly divided into treatment group (48 cases) and control group(48 cases). Two groups were given anti-dyspepsia treatment. Besides, treatment group was also given psychological intervention. All patients were assessed with SDS and SAS before and after treatment. The means of FD score were calculated. Results The effective rates of treatment group and control group were 83.33% (40/48) and45.83%(22/48) respectively. The effective rates in the treatment group were significantly higher than those incontrol group (X~2 = 17.20,P < 0.01). Treatment group was better than control group in the means of FD score, SDS score and SAS score. The difference was statistically significant (P < 0.05). The SDS score and SAS score in treatment group was significantly reduced eompared with that before treatment, while the change of control group was not obvious. Conclusion Psychological intervention can significantly improve symptoms of FD combined with depression and anxiety.