中国道家认知疗法并用度洛西汀与单用度洛西汀治疗躯体形式障碍的对照研究  

Chinese Taoist cognitive therapy and wore los paxil and duloxetine alone control study for the treatment of somatoform disorders

作　　者：曹磊明[1] 王国强[1] 杨碧秀[1] 张凯[1] 

机构地区：[1]南京医科大学附属无锡精神卫生中心,无锡214151

出　　处：《国际精神病学杂志》2015年第4期29-33,共5页Journal Of International Psychiatry

摘　　要：目的探讨中国道家认知疗法在躯体形式障碍临床治疗中的作用及效果。方法将128例躯体形式障碍患者随机分为研究组与对照组各64例,对照组患者单用度洛西汀治疗,研究组在对照组基础上加行中国道家认知疗法进行治疗。结果观察组与对照组均有1例患者因药物不良反应而放弃治疗,共有126例患者完成全疗程的治疗,占全部入选患者的98.4%;两组患者的HAMA、HAMD、SCL-90三量表评分均在治疗1w末或治疗2w末较治疗前显著降低(P<0.05),且从治疗2w末开始,研究组的三量表评分较治疗前的减分率均显著大于对照组(P<0.05);治疗8w末,研究组的痊显率与总有效率分别为78.1%与90.6%,对照组的痊显率与总有效率分别为53.1%与75.0%,组间比较均以研究组显著更高(P<0.05)。结论中国道家认知疗法并用度洛西汀治疗SD的临床疗效显著优于单用度洛西汀,可以作为SD患者药物治疗的补充。Objective To explore the Chinese Taoist cognitive therapy in somatoform disorder and the role and effect of clinical treatment. Methods 128 patients with somatoform disorders were randomly divided into research group and the control group （n=64）, the control group patients use duloxetine for drug treatment, the team in the control group based on line with Mario zhang and others founded by Chinese Taoist cognitive therapy for treatment. Results The observation group and control group were 1 patients give up treatment because of adverse drug reactions, a total of 126 patients completed the whole course of treatment, accounting for 98. 4% of all selected patients; Two groups of patients with HAMA and HAMD and SCL - 90 three rating scale are at the end of the treat- merit at the end of the lw or 2w than before treatment significantly reduced （ P〈0. 05）, and starting at the end of the treatment of 2w, the team of three rating scale was points rate were significantly greater than the control group （P〈0. 05） ; 8w at the end of the treatment, the team of the dash show rate and total effective rate was 78. 1% and 90. 6% respectively, the control of the dash show rate and total effective rate was 53. 1% and 53.1% respectively, the comparison between group by group was significantly higher （P〈O. 05）. Conclusion Chinese Taoist cognitive therapy and capability, treatment the clinical curative effect of SD was superior to that of duloxetine alone, suggested that it is necessary to Chinese Taoist cognitive therapy as an important supplement of the drug treatment in patients with SD to promote clinical use.

关 键 词：躯体形式障碍 道家认知疗法 度洛西汀 

分 类 号：R749.05[医药卫生—神经病学与精神病学]