催眠疗法联合多潘立酮治疗肠易激综合征的临床疗效  

Clinical control study of hypnotherapy combined with domperidone in thetreatment of irritable bowel syndrome

作　　者：赵约翰[1] 王学永 王辉[1] 孙明娟[1] 张立平 ZHAO Yuehan;WANG Xueyong;WANG Hui;SUN Mingjuan;ZHANG Liping(Department of Psychiatry,Weifang People's Hospital,Weifang 261041,China;Department of Psychiatry,Weicheng People's Hospital;Department of Psychiatry,Weifang People1 s Hospital of Hi-tech Zone)

机构地区：[1]潍坊市人民医院临床心理科,山东潍坊261041 [2]潍坊市潍城区人民医院精神科 [3]潍坊高新区人民医院精神科

出　　处：《潍坊医学院学报》2020年第6期467-469,共3页Acta Academiae Medicinae Weifang

基　　金：潍坊市卫健委计划项目(项目编号:2016wsjs025)。

摘　　要：目的观察催眠疗法联合多潘立酮治疗肠易激综合征(IBS)的疗效。方法选取符合罗马Ⅳ诊断标准的肠易激综合征患者60例,随机分为实验组(催眠疗法联合多潘立酮组,n=30)和对照组(单独用药,n=30),2组均使用多潘立酮进行为期8周的治疗;治疗组同时进行每天1次,每次30~45min的肠靶向催眠光盘治疗,采用IBS-SSS、SAS、SDS、IBS-QOL及总体幸福感量表(GWB)在治疗前后进行评价。结果实验组有效率为83.3%,对照组有效率63.3%(P<0.01),催眠疗法组SAS、SDS评分较对照组明显降低(P<0.01),IBS-QOL、GWB评分较对照组明显升高(P<0.01)。结论催眠疗法可以有效改善肠易激综合征患者临床症状,缓解不良情绪,改善生活质量,值得临床推广应用。Objective To assess the efficacy of hypnotherapy combined with domperidone in the treatment of irritable bowel syndrome.Methods Sixty IBS patients(based on Rome IV diagnostic criteria)were randomly divided into the study group and control group.Each group was treated with domperidone(10 mg,3 times/d).At the same time,study group received gut-direction hypnotherapy by CD(audiotape)30~45 minutes per day for 8 weeks.Clinical assessments were conducted by IBS-SSS,SAS,SDS,IBS-QOL and GWB before and after treatment.Results The clinical effective rate of study group was 82.7%.The clinical effective rate of control group was 62.2%(P<0.01).The scores of SAS,SDS was lower and IBS-QOL,GWB were higher in study group than control group at the end of the treatment(P<0.01).Conclusion Hypnotherapy has a very positive impact on health-related quality of life,psychological well-being and physical symptoms in patients of irritable bowel syndrome.

关 键 词：催眠疗法 肠易激综合征 多潘立酮 生活质量 

分 类 号：R574.4[医药卫生—消化系统]