摘要
目的:了解进食障碍住院患者疗效的影响因素。方法:收集36例进食障碍患者住院治疗的临床资料并进行分析。结果:根据疗效分组显示,疗效好的患者闭经时间短、住院时间长、体质量(体重)增加明显、鼻饲治疗者多(P均<0.05),而在病程、起病年龄、入院前体质量减轻情况,有否导泻,引吐,入院时汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分、住院意向、住院病房模式等方面差异均无显著性(P均>0.05)。结论:进食障碍的患者需要及早、长程的综合治疗,对于治疗依从性差的患者,鼻饲治疗颇为有效。有自行导泻引吐症状可能是促使患者住院治疗的重要因素。
Objective：To investigate the influence factors on efficacy in the inpatients with eating disorder. Method： The clinical data of 36 inpatients with eating disorder were analyzed retrospectively. Results： Being grouped by the efficacy, the patients with good efficacy had shorter time of absence of menstruation and longer time of admission, got more increased weight and nasogastric feeding （ all P 〈 0.05）, while no significant differences were fotmd in duration, age of onset, weight reduction before admission, with or without symtoms of self purging or induced vomiting, scores of Hamilton anxiety scale （HAMA） and Hamilton depressive scale （ HAMD）, patients＇ willing for admission and model of ward （all P 〉 0.05）. Conclusion： It is necessary for the patients with eating disorder to receive long-term comprehensive treatments as soon as possible, Sometime, it is effective for the patients with poor compliance to take nasogastric refeeding. The symptom of purging and self-induced vomiting may prompt patients to admit.
出处
《临床精神医学杂志》
2005年第5期273-274,共2页
Journal of Clinical Psychiatry
关键词
进食障碍
疗效
eating disorder
efficacy
