心理干预对耳鸣患者疗效的影响

目的探讨心理干预在耳鸣患者治疗中的效果，为临床应用提供依据。方法在耳鼻喉科门诊随机抽出以耳鸣为第一主诉患者121例，将患者随机分为两组，A组62例接受心理干预、掩蔽及药物治疗，B组59例接受掩蔽、药物治疗。治疗前后用SCL-90及耳鸣程度主观评估进行比较。结果两组患者治疗前SCL-90评分比较无差异（P〉0．05），治疗组治疗前后SCL-90评分在躯体化、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执因子上前后差异较为明显（P〈0．05，P〈0．01），对照组治疗前后各因子分无差异（P〉0．05），两组治疗后在躯体化、抑郁、焦虑、敌对、恐怖、偏执因子上相比均有显著差异（P〈0．05或P〈0．01）。两组患者疗效均有改善，而治疗组改善更为明显（P〈0．05）。结论心理干预对耳鸣患者有较好的疗效。

Curative Effect of Mental Intervention on Patients with Tinnitus

Objective To analyze the psycho-health conditions of patients and treat tinnitus patients with psycho-therapy provide the basis to clinical application.Methods 121 patients were randomly divided into the test group and the control group,each of which were marked by symptom checklist-90 before and after the treatment,patients in the test group were given psychological intervention therapy.Results The scores between the two groups were similar(P>0.05)before treatment.Before and after the treatment for 6months,the scores in the test group were obviously different(P<0.05 or P<0.01).In the control group were similar(P>0.05).The scores between the two groups were different after treatment for 6 months(P<0.01).The curative effect by using psycho-therapy combined with masking and drug therapy is more effective than the one only by using masking and drug therapy(P<0.05).Conclusion Psychological intervention was an effective supporting treatment.