心理干预对慢性乙型肝炎心身症状和疗效的影响

目的探讨心理干预对慢性乙型肝炎（CHB）患者心身症状和疗效的影响。方法将90例患者分成两组，治疗组应用药物＋心理治疗、认知疗法；对照组应用单纯药物治疗，治疗前后应用SCL-90自评量表进行比较。对比两组肝功能治疗后的疗效。结果两组治疗前SCL-90各因子分与常模比较有差异（P〈0．05或P〈0．01）。治疗组SCL-90各因子分治疗前后差异显著（P〈0．01），两组治疗后SCL-90各因子分比较有差异（P〈0．05或P〈0．01）。肝功能两组治疗前后均有改善，而治疗组改善更显著（P〈0．05）。结论一般支持性心理治疗和认知疗法能有效地改善慢性乙肝的心身症状。提高临床疗效。是一种较好的支持疗法。

Influence of Psychological Intervention on Psychosomatic Symptoms and Curative Effects of Patients with Chronic Hepatitis B

objective To investigate the influence of psychological intervention on psychosomatic symptoms and curative effects of patients with chronic hepatitis B.Methods Ninety patients were randomly divided into two groups,the rapeutic group received medicines as well as psychotherapy and cognitive therapy;the control group was only administered with medicine;in both groups,symptom checklist-90(SCL-90) was used to make comparison between the psychosomatic symptoms occurred prior treatment and those posttreatment,and liver function test results were evaluated at the end of the therapy as contrast.Results The patients showed difference in SCL-90 before therapy,when compared to those in Chinese norm respectively(P<0.05 or P<0.01);in the rapeutic group,score of each factor in SCL-90 showed significant difference in results between the pre-treatment and post-treatment(P<0.01),while after therapy,in comparison with the control group,the rapeutic group showed difference in SCL-90(P<0.05 or P<0.01).Moreover,the rapeutic group was also more obvious in improving patients' liver function when compared with the control group(P<0.05).Conclusion General supportive psychotherapy and cognitive therapy is believed as a significant supportive therapy,which can improve psychosomatic symptoms of patients with chronic hepatitis B effectively and elevate curative effect.