认知行为疗法联合针刺治疗精神分裂症缓解期临床研究  

Clinical Study on Cognitive Behavioral Therapy Combined with Acupuncture for Patients with Schizophrenia at Remission Stage

作　　者：夏花 XIA Hua

机构地区：[1]丽水市第二人民医院七病区,浙江丽水323000

出　　处：《新中医》2020年第21期100-102,共3页New Chinese Medicine

摘　　要：目的:观察认知行为疗法联合针刺治疗对精神分裂症缓解期患者认知功能和社会功能的影响。方法:将84例精神分裂症缓解期患者按随机数字表法分为对照组和观察组,每组42例。对照组给予认知行为疗法治疗,观察组给予认知行为疗法联合针刺治疗。采用精神分裂症简明认知功能成套测评量表(BACS)[包括语义流畅性(CF)、符号编码(SC)、数字序列(DS)、代币运动(TM)、言语记忆(VM)、字词流畅性(WF)、伦敦塔(TOL)评分]、住院精神病人社会功能评定量表(SSPI)[包括生活自理能力(ADL)、活动和交往能力(A&C)和社会活动技能(SA)评分],评价2组患者治疗前后认知功能、社会功能的变化。结果:2组治疗前CF、SC、DS、TM、VM、WF、TOL评分比较,差异无统计学意义(P>0.05),治疗后各项评分均较治疗前显著升高(P<0.05),且观察组各项评分均高于对照组(P<0.05);2组ADL、A&C、SA评分及SSPI总分均较治疗前明显升高(P<0.05),且观察组各项评分均高于对照组(P<0.05)。结论:认知行为疗法联合针刺治疗对精神分裂症缓解期患者认知功能和社会功能改善具有良好的促进作用。Objective: To observe the effect of the cognitive behavioral therapy combined with acupuncture on the cognitive and social functions of patients with schizophrenia at remission stage. Methods: A total of 84 patients with schizophrenia at remission stage were divided into the control group and the observation group by random number table method,42 patients in each group. The control group was treated with cognitive behavioral therapy,and the observation group was treated with the cognitive behavioral therapy combined with acupuncture. With Brief Assessment of Cognition in Schizophrenia(BACS), including the Category Fluency(CF), the Symbol Coding(SC), the Digital Sequence(DS), the Token Movement(TM), the Verbal Memory(VM), the Word Fluency(WF) and the Tower of London(TOL)], and Scale of Social Function in Psychosis Inpatients(SSPI),including the Activities of Daily Living(ADL),the Activity and Communication(A&C)and the Social Ability(SA),the changes of cognitive function and social function were evaluated in the two groups before and after treatment. Results:Before treatment,there was no significant difference in the comparison of the scores of CF,SC,DS,TM,VM,WF and TOL between the two groups(P>0.05),and the above scores in each group after treatment were significantly increased when compared with those before treatment(P<0.05);the above scores in the observation group were higher than those in the control group(P<0.05). The scores of ADL,A&C and SA as well as the total SSPI score in both groups were significantly increased when compared with those before treatment(P<0.05), and the above scores in the observation group were higher than those in the control group(P<0.05). Conclusion:Cognitive behavioral therapy combined with acupuncture has a good effect on the improvement of cognitive function and social function in patients with schizophrenia at remission stage.

关 键 词：精神分裂症 认知行为疗法 针刺疗法 认知功能 社会功能 

分 类 号：R749.3[医药卫生—神经病学与精神病学]