中医认知疗法对功能性消化不良的疗效  

Effect of traditional Chinese medicine cognitive therapy on functional dyspepsia

作　　者：陈晓洁[1] 杨芸峰 

机构地区：[1]安徽省滁州市第一人民医院中医科,安徽滁州239000 [2]上海市徐汇区枫林社区卫生服务中心,上海200030

出　　处：《中国医药导报》2017年第4期78-81,共4页China Medical Herald

基　　金：上海市卫生和计划生育委员会中医药科研专项课题(2016LQ008)

摘　　要：目的探讨中医认知疗法对功能性消化不良(FD)患者的疗效。方法将2015年6月~2016年6月至滁州市第一人民医院门诊就诊的84例FD患者,依照就诊时间随机分为两组。观察组42例和对照组42例,对照组给予常规中医治疗,观察组同时给予认知行为干预,6周为一疗程。治疗前后,两组分别进行症状积分评定,焦虑自评量表(SAS)、抑郁自评量表(SDS)和治疗依从性的评分测定,再统计分析两组治疗结果。结果观察组与对照组相比,治疗有效率为88.09%vs 64.28%,复发率8.1%vs 44.44%,依从性提高率:33.33%vs 11.85%,差异具有统计学意义(P<0.05);观察组与对照组相比,SAS、SDS、症状积分结果分别为(42.43±9.21)分vs(50.15±9.56)分,(45.21±7.26)分vs(51.42±8.31)分,(4.67±3.22)分vs(8.53±4.23)分,差异有统计学意义(P<0.05)。结论中医认知疗法可改善功能性消化不良患者的生活质量。Objective To discuss the effect of traditional Chinese medicine cognitive therapy on functional dyspepsia. Methods 84 patients with functional dyspepsia （FD） in the First People＇s Hospital of Chuzhou from June 2015 to June 2016 were randomly divided into two groups. The observation group were forty-two cases, the control group were forty- two cases. The observation group were treated with Chinese medicine intervention program combined with cognitive-be- havioral intervention, while the control group was treated with traditional Chinese medicine only, 6 weeks for a course. Before and after the treatment, self-rating anxiety scale （SAS）, self-rating depression scale （SDS）,symptom score and treatment compliance were measured , treatment resuhs of the two groups were statistical analyzed. Results Compared with the control group, the treatment of the effective rate was 88,09% vs 64.28%, the recurrence rate of 8.1% vs 44.44%, the compliance increase rate of 33.33 % vs 11.85%, the difference was statistically significant （P 〈 0.05）; Compared with the control group, the results of SAS, SDS ,symptom score were （42.43±9.21）points vs （50.15±9.56）points, （45.21± 7.26）points vs （51.42±8.31）points, （4.67±3.22）points vs （8.53±4.23）points, the difference was statistically significant （P 〈 0.05）. Conclusion Traditional Chinese medicine cognitive therapy can improve the quality of life in functional dyspepsia patients.

关 键 词：功能性消化不良 认知 行为干预 中医 

分 类 号：R259[医药卫生—中西医结合]