电针与认知行为治疗持续性躯体形式疼痛障碍的临床研究

目的：研究电针、认知行为心理治疗与二者联合在抗抑郁药物治疗基础上治疗持续性躯体形式疼痛障碍的疗效的差别。方法：对65名持续性躯体形式疼痛障碍患者追踪观察1年，治疗前将患者随机分为3组；在抗抑郁药物治疗基础上，一组接受电针治疗；一组接受认知行为治疗；一组接受电针联合认知行为治疗。对3组治疗前与后2、4、8周以及半年，1年各进行1次疼痛症状评分，汉密尔顿抑郁量表测评。结果电针及电针联合认知行为治疗组2周、4周时的疗效优于认知行为治疗组（P〈0．05）；且二者复发率较电针治疗组低（P〈0．05）。结论：在抗抑郁药物治疗基础上配合电针治疗能快速缓解患者的疼痛症状及焦虑抑郁情绪，从而减少持续性躯体形式疼痛障碍复发。

Cupping and cognitive behavioral therapy persistent somatoform disorders of pain in clinical research

Objective To study the electro-acupuncture, Cognitive Behavior tharapy and the two combined in the anti-depressant drugs therapy based on the treatment of persistent somatoform pain disorder effect of the difference. Methods： 65 persistents somatoform pain disorder durative somatoform pain disorder followed for 1 year before treatment, patients were randomly divided into 3 groups; Hamilton Depression Scale evaluation, and 1-year recurrence rate after contrast. Results The results of EA and EA combined cognitive behavioral therapy group 2 weeks, 4 weeks is more effective than cognitive behavioral therapy group （P〈0.05）. Conclusion： Based on the antidepressant drug treatment with electroacupuncture for treatment of patients can quickly relieve pain and anxiety and depression.