摘要
目的观察慢性功能性便秘(FC)伴抑郁患者心理干预的效果。方法选择北京中医药大学东方医院2016年2月—2017年6月收治的160例慢性FC伴抑郁患者为观察对象,随机分为常规组和干预组各80例。常规组给予药物干预、生物反馈干预、灌肠治疗、日常行为干预;干预组在常规组的基础上给予心理干预措施。比较两组干预前后汉密顿抑郁量表(HAMD)积分、直肠最大耐受阈值、模拟排便时肛管最大收缩压。结果干预前,两组HAMD评分、直肠最大耐受阈值、模拟排便时肛管最大收缩压比较,差异均无统计学意义(P>0.05)。干预后,干预组HAMD评分为(11.0±2.4)分,低于常规组(18.2±2.1)分,直肠最大耐受阈值低于常规组,模拟排便时肛管最大收缩压高于常规组,差异均有统计学意义(P<0.05)。结论对慢性FC伴抑郁患者在常规治疗的基础上应用心理干预,可有效缓解患者心理问题,改善抑郁状态,临床疗效良好,有助于患者早日康复。
Objective To observe the effect of psychological intervention on patients with chronic functional constipation(FC)with depression. Methods From February 2016 to June 2017,160 patients with chronic FC with depression admitted to Oriental Hospital of Beijing University of Traditional Chinese Medicine were selected as the observation objects and randomly divided into conventional group and intervention group,with 80 cases in each group. The conventional group was given drug intervention,biofeedback intervention,enema treatment and daily behavior intervention;the intervention group was given psychological intervention on the basis of the conventional group. The scores of Hamilton Depression Scale(HAMD),maximum rectal tolerance threshold and maximum anal systolic pressure during simulated defecation were compared between the two groups before and after intervention. Results Before the intervention,there were no significant differences in HAMD score,rectal maximum tolerance threshold and maximum anal systolic pressure during simulated defecation between the two groups(P>0.05). After the intervention,the HAMD score of the intervention group was(11.0±2.4)score,lower than(8.2±2.1)score of the conventional group,the maximum rectal tolerance threshold was lower than that of the conventional group,and the maximum anal systolic pressure during simulated defecation was higher than that of the conventional group,and the differences above all were statistically significant(P<0.05). Conclusion Psychological intervention on the basis of conventional treatment for chronic FC with depression patients could effectively alleviate the psychological problems of patients,improve the depression state,and had good clinical effect,which was conducive to the early recovery of patients.
作者
刘永顺
李超
张作兴
LIU Yong-shun;LI Chao;ZHANG Zuo-xing(NO.3 Surgical Department,Tianjin Public Security Hospital,Tianjin 300042,China;Department of Radiology,Oriental Hospital of Beijing University of Traditional Chinese Medicine;Department of Anorectal,Tianjin People's Hospital)
出处
《中国城乡企业卫生》
2021年第9期4-6,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
慢性功能性便秘
抑郁
心理干预
Chronic functional constipation
Depression
Psychological intervention
