风湿病患者伴抑郁焦虑障碍的治疗探讨

目的 探讨风湿病患者伴抑郁、焦虑的合理治疗，考察不同疗法对抑郁焦虑的治疗效果以及对风湿病患者的改善作用。方法 选伴抑郁或焦虑的风湿病患者45例，随机分为3组，每组15例，对照组、药物治疗组及联合治疗组。用抑郁和焦虑量表分别评估患者治疗前后的评分情况，比较单纯药物治疗和联合心理治疗的效果。结果治疗后各量表评分数较对照组明显减少，差异有显著性（P〈0．05），风湿病的主要症状、体征都较对照组改善明显，联合组更明显，差异有显著性（P〈0．05）。结论 风湿病伴抑郁或焦虑的患者联合心理治疗较单纯药物治疗效果好，不仅能减轻抑郁或焦虑症状，而且也能改善风湿病的病情。

Treatment for rheumatism Patients with depression and anxiety: a preliminary evaluation

Objective To investigate the reasonable treatment for rheumatism patients with depression and anxiety.Methods 45 rheumatism patients with depression and anxiety disorders were divided into 3 groups randomly: pharmacological group,combined-treatment group(cognitive and behavioral therapy combined with pharmacotherapy) and control group,15 patients in each group.Results T-test showed that there was significant difference between the control group and pharmacological group or combined group both in the response of mental states and rheumatism(P<0.05).Furthermore,there was also difference between the pharmacological group and combined group(P<0.05).Conclusion Pharmacotherapy for rheumatism patients with anxiety and depression can get obvious improvement for mental states and rheumatism.Combined psychosocial with pharmacological therapy is still better than the pharmacological therapy alone.