医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2015年
8期
993-994,999
,共3页
焦虑%颈椎病%心理治疗
焦慮%頸椎病%心理治療
초필%경추병%심리치료
Anxiety%Cervical spondylosis%Psychological treatment
目的：比较联合抗焦虑治疗与常规非手术治疗对颈椎病伴焦虑患者的疗效。方法：2014年2－8月共收集颈椎病伴焦虑病例124例，随机分为实验组、对照组，每组62例。对照组采用颈椎病常规非手术治疗方案，患者每日口服非甾体镇痛药物美洛昔康片7．5mg ，同时给予颈椎牵引、电针等物理治疗。实验组在对照组治疗基础上联合抗焦虑药物治疗，给予黛力新（氟哌噻顿0．5mg ，美利曲辛10mg）早晨及中午各1片；同时心理干预治疗。在治疗后2周及4周时观察患者颈肩部疼痛缓解情况及焦虑缓解情况，分别为两组患者行疼痛程度的视觉类比评分（VAS）及汉密尔顿焦虑量表评分（HAMA）。结果：两组患者在治疗开始后2周及4 周时其 VAS 评分及 HAMA 评分的差异均有统计学意义（P＜0．05），实验组患者在 VAS 评分及 HAMA 评分上均优于对照组。结论：联合抗焦虑治疗在治疗颈椎病伴焦虑患者时可获得更好的治疗效果。
目的：比較聯閤抗焦慮治療與常規非手術治療對頸椎病伴焦慮患者的療效。方法：2014年2－8月共收集頸椎病伴焦慮病例124例，隨機分為實驗組、對照組，每組62例。對照組採用頸椎病常規非手術治療方案，患者每日口服非甾體鎮痛藥物美洛昔康片7．5mg ，同時給予頸椎牽引、電針等物理治療。實驗組在對照組治療基礎上聯閤抗焦慮藥物治療，給予黛力新（氟哌噻頓0．5mg ，美利麯辛10mg）早晨及中午各1片；同時心理榦預治療。在治療後2週及4週時觀察患者頸肩部疼痛緩解情況及焦慮緩解情況，分彆為兩組患者行疼痛程度的視覺類比評分（VAS）及漢密爾頓焦慮量錶評分（HAMA）。結果：兩組患者在治療開始後2週及4 週時其 VAS 評分及 HAMA 評分的差異均有統計學意義（P＜0．05），實驗組患者在 VAS 評分及 HAMA 評分上均優于對照組。結論：聯閤抗焦慮治療在治療頸椎病伴焦慮患者時可穫得更好的治療效果。
목적：비교연합항초필치료여상규비수술치료대경추병반초필환자적료효。방법：2014년2－8월공수집경추병반초필병례124례，수궤분위실험조、대조조，매조62례。대조조채용경추병상규비수술치료방안，환자매일구복비치체진통약물미락석강편7．5mg ，동시급여경추견인、전침등물리치료。실험조재대조조치료기출상연합항초필약물치료，급여대력신（불고새돈0．5mg ，미리곡신10mg）조신급중오각1편；동시심리간예치료。재치료후2주급4주시관찰환자경견부동통완해정황급초필완해정황，분별위량조환자행동통정도적시각류비평분（VAS）급한밀이돈초필량표평분（HAMA）。결과：량조환자재치료개시후2주급4 주시기 VAS 평분급 HAMA 평분적차이균유통계학의의（P＜0．05），실험조환자재 VAS 평분급 HAMA 평분상균우우대조조。결론：연합항초필치료재치료경추병반초필환자시가획득경호적치료효과。
Objective :Compared with conventional non‐surgical joint anti‐anxiety treatment and curative effect for the treatment of patients with cervical spondylosis with anxiety .Methods :From February 2014 to August 2014 ,altogether collected cases of cervical spondylosis with anxiety of 124 cases were randomly divided into experimental group and control group ,62 cases in each group .Control group ,the use of conventional non‐surgical treatment cervical spondylo‐sis .Patients daily oral non‐steroidal analgesic drugs ,while giving traction ,including physical therapy ,etc .The experi‐mental group ,on the basis of the treatment in the control group ,the joint given anti‐anxiety drugs .At the same time psychological intervention treatment .In 2 weeks and 4 weeks after treatment in patients with neck shoulder pain relief , and relieve anxiety ,respectively for the two groups of patients pain degree of visual analogue scale (VAS) and Hamil‐ton anxiety rating scale (HAMA) .Results :Two groups of patients 2 weeks and 4 weeks after the therapy began when the VAS score and HAMA score difference had statistical significance (P< 0 .05) .Experimental patients in VAS scores and HAMA scores were better than the control group .Conclusion :Joint anti‐anxiety and psychological intervention therapy in the treatment of cervical spondylosis with anxiety patients can obtain better treatment effect .
