CAJ | 학술논문

目的:探讨放松疗法合并抗抑郁药及心境稳定剂治疗以冷感为主诉的躯体形式障碍的疗效及安全性.方法:68例重度冷感障碍患者随机分为两组,研究组放松疗法合并抗抑郁药及心境稳定剂进行治疗,对照组单用药物治疗共8周. 治疗前及治疗后2、4、8周末分别应用症状自评量表( SCL-90 )评定心理健康水平,用自编冷感量表评定临床疗效,用副反应量表( TESS)评定不良反应. 结果:治疗后8周末研究组SCL-90躯体化、抑郁、焦虑、恐怖因子分与对照组比较降低差异有统计学意义(P<0.05). 8周末研究组有效率85.29%,对照组有效率61.76%,研究组有效率高于对照组(χ2 =4.836,P<0.05). 不良反应均较轻,两组间比较差异无统计学意义. 结论:放松疗法合并抗抑郁药及心境稳定剂治疗冷感障碍的疗效优于单独应用药物治疗,副作用无增加.
목적:탐토방송요법합병항억욱약급심경은정제치료이랭감위주소적구체형식장애적료효급안전성.방법:68례중도랭감장애환자수궤분위량조,연구조방송요법합병항억욱약급심경은정제진행치료,대조조단용약물치료공8주. 치료전급치료후2、4、8주말분별응용증상자평량표( SCL-90 )평정심리건강수평,용자편랭감량표평정림상료효,용부반응량표( TESS)평정불량반응. 결과:치료후8주말연구조SCL-90구체화、억욱、초필、공포인자분여대조조비교강저차이유통계학의의(P<0.05). 8주말연구조유효솔85.29%,대조조유효솔61.76%,연구조유효솔고우대조조(χ2 =4.836,P<0.05). 불량반응균교경,량조간비교차이무통계학의의. 결론:방송요법합병항억욱약급심경은정제치료랭감장애적료효우우단독응용약물치료,부작용무증가.
Objective:To explore the efficacy and safety of relaxation therapy combined with antide-pressants and mood stabilizers in the treatment of somatoform disorder with cold feeling.Methods:A total of 68 patients with severe cold feeling disorder were randomly divided into two groups ,study group with relaxation therapy combined with antidepressants and mood stabilizers and control group with the drug on-ly for the treatment of 8 weeks.The efficacy was assessed with Symptom Checklist -90 ( SCL-90 ) and self-made cold scale and side effect was assessed with treatment -emergent symptom side effect scale (TESS)at the beginning and the end of 2th,4th and 8th week of the treatment.Results:After 8 weeks treatment ,the scores of somatization ,depression ,anxiety and phobia factors in the study group were signif-icantly lower than those in the control group (P <0.05).The effective rate in the study group was signifi-cantly higher than that in the control group (85.29% vs.61.76%;χ2 =4.836,P <0.05).The side effects were not significantly different between the two groups.Conclusion:Relaxation therapy combined with antidepressants and mood stabilizers in the treatment of cold feeling disorder is more effective and has less side effects.