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精神心理疗法治疗肠易激综合征41例

Mental and psychological therapy for treatment of 41 patients with irritable bowel syndrome
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摘要 目的 探讨精神心理治疗在肠易激综合征(IBS)中的作用。方法 82例按罗马 标准确诊的IBS患者随机分为2组,每组4 1例,对照组予常规对症治疗,观察组在常规治疗基础上加氟西汀(10 mg·d- 1 ,每日1次)口服,疗程8周,同时给予精神心理支持治疗。结果 两组患者治疗后消化道症状改善有显著差异(P<0 .0 5 ) ,两组植物神经功能异常的恢复差异有显著性(P<0 .0 5 ,P<0 .0 1)。结论 加服抗抑郁药物及心理支持治疗对IBS有显效。 Objective To discuss the role of mental and psychological treatment in patients with irritable bowel syndrome(IBS).Methods Eighty-two IBS patients diagnosed by Rome Ⅱ standard were randomly divided to two groups,41 patients in each group.The routine treatment was administered in control group.The observed group was performed with oral administration of Fluoxetine(10mg per day)and combined with the mental and psychological treatment simultaneuosly for eight weeks.Results There was an obvious improvement in symptoms of digestive tract in two groups after treatment(P<0.05).The recovery of vegetative nerve function in observe group was superior to control group(P<0.05,P<0.01).Conclusion The combination of antidepressant and psychological supporting treatment plays an obvious effect in the treatment of IBS patients.
作者 尚现伟
出处 《新乡医学院学报》 CAS 2005年第2期153-154,共2页 Journal of Xinxiang Medical University
关键词 肠易激综合征 精神心理治疗 抗抑郁 氟西汀 irritable bowel syndrome mental and psychological treatment antidepressant fluoxetine
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