心理干预在慢性功能性便秘患者中的应用效果

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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.
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