摘要
目的 探讨药物联合心理疗法对急性焦虑障碍患者的治疗效果。方法 选取2021年1月—12月福建省福州神经精神病防治院收治的92例急性焦虑障碍患者,采用信封随机法将患者分成研究组与对照组,每组46例。对照组患者采用单纯药物治疗,研究组患者采用常规药物治疗联合心理治疗,比较2组患者治疗前后的焦虑状态和生活质量。结果 2组患者治疗前汉密尔顿焦虑量表(HAMA)中躯体性焦虑及精神性焦虑评分比较,差异均无统计学意义(P>0.05);研究组患者治疗6个月后躯体性焦虑及精神性焦虑评分均低于对照组,差异均有统计学意义(P<0.05)。2组患者治疗前生活质量综合评定问卷(GQOLI-74)各维度评分比较,差异均无统计学意义(P>0.05);研究组患者治疗后GQOLI-74中躯体功能、心理功能、社会功能及物质生活状态维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论 药物联合心理疗法对急性焦虑障碍患者的临床治疗效果显著,可有效改善患者焦虑状态,提高患者生活质量。
Objective To investigate the therapeutic efficacy of drug therapy in combination with psychotherapy in patients with acute anxiety disorder.Methods Ninety-two patients with acute anxiety disorder admitted to Fuzhou Neuro-psychiatric Hospital from Januarg 2021 to December 2022 were randomly assigned to the study group and control group by envelope randomization,with 46 cases in each group.The patients in the control group were treated with drugs alone,and the patients in the study group were treated with conventional drugs combined with psychotherapy.The anxiety status and quality of life were compared between the two groups before and after treatment.Results There was no significant difference in somatic anxiety and mental anxiety scores between the two groups before treatment(P>0.05).The somatic anxiety and mental anxiety scores in the study group were significantly lower than those in the control group after 12 weeks and 6months of treatment(P<0.05).There were no significant differences in the dimension scores of the Generic Quality of Life Inventory-74(GQOLI-74) before treatment between the two groups(P>0.05).The physical function,psychological function,social function,and material well-being dimension scores in GQOLI-74 after treatment in the study group were significantly higher than those in the control group(P<0.05).Conclusion Drug therapy in combination with psychotherapy demonstrates significant clinical efficacy in patients with acute anxiety disorder,which can effectively ameliorate the anxiety state and increase the quality of life of patients.
作者
陈晓昕
陈明森
郑明坚
王巍
Chen Xiaoxin;Chen Mingsen;Zheng Mingjian;Wang Wei(Fuzhou Neuro-psychiatric Hospital,Fuzhou 350007,China)
出处
《保健医学研究与实践》
2022年第12期24-27,共4页
Health Medicine Research and Practice
基金
福州市科技计划项目(2020-WS-70)。
关键词
药物治疗
心理治疗
急性焦虑障碍
焦虑
生活质量
Drug therapy
Psychotherapy
Acute anxiety disorder
Anxiety
Quality of life
