功能性消化不良患者的情绪障碍及治疗 |
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引用本文: | 潘小平 李瑜元. 功能性消化不良患者的情绪障碍及治疗[J]. 中国心理卫生杂志, 1999, 13(2): 65-66 |
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作者姓名: | 潘小平 李瑜元 |
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作者单位: | 广州市第一人民医院神经内科 |
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摘 要: | 目的:探讨抗抑郁药对功能性消化不良(FD)患者情绪障碍的疗效。方法:分别对24例健康人和24例FD病人进行汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)和症状自评量表(SCL90)评分;用抗抑郁药,5羟色胺再摄取抑制剂(SSRI)盐酸氟西汀(百忧解)、帕罗西丁(赛尔特)治疗24例FD病人,疗程均为8周,治疗后再进行上述量表评分。结果:FD患者和正常人的三种量表(HAMD、HAMA、SCL90)评分对比,均显示FD患者的精神和躯体症状与正常人之间存在着显著差异(p<0001);而在日夜变化和精神病理上,差异无显著性;FD病人接受抗抑郁药治疗8周后,前后评分对比,患者的精神和躯体症状均有明显改善。结论:提示FD患者普遍存在抑郁和焦虑情绪,用抗抑郁药治疗FD能显著改善患者的症状,包括精神和躯体两方面的症状
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关 键 词: | 功能性消化不良 情绪障碍 抗抑郁药 |
Psychological Factors in Functional Dyspepsia and its Treatment |
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Abstract: | Objective:to investigate the role of psychological factors in functional dyspepsia(FD) and the effect of antidepressant on FD.Medthod:to analyze the psychological staus of 24 FD patients and 24 healthy persons using Hamilton Depression(HAMD),Hamilton Anxiety(HAMA)and SCL 90 scales.Antidepressants were used to treat FD patients for 8 weeks,13 cases received Prozac,the other 11 Seroxat.Mental state evaluation was done before and after the treatment.Result:there was significant difference in somatic and psychological scores of HAMA and SCL 90 between the two groups(p<0 001).The scores of FD patients significantly improved after 8 weeks treatment.Conclusion:psychological factors play a role in FD.The patients commonly have depression or anxiety.Antidepressants have good efficiency in the treatment of FD both for improving somatic and psychological symptoms. |
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Keywords: | functional dyspepsia psychological factors antidepressants |
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