心理治疗肠易激综合征疗效的临床研究

目的：观察心理治疗肠易激综合征的临床疗效。方法：入组57例肠易激综合征患者，分为实验组和对照组，实验组给予心理治疗加常规药物治疗，对照组则只给予常规药物治疗，疗程均为12周，观察患者肠易激综合征症状、精神心理状态和生活质量的改善情况。结果：实验组治疗12周后能改善肠易激综合征总体症状和除腹胀以外的肠道症状，其中以腹痛症状的改善明显(5.10±0.74 vs 3.10±1.10,P＜0.05)。实验组症状自评量表 90、汉密尔顿焦虑量表及汉密尔顿抑郁量表总均分较治疗前显著下降，其中以焦虑、抑郁因子下降明显(2.56±0.07 vs 1.46±0.07;2.45±0.03 vs 1.34±0.04,P＜0.01)。结论:心理治疗能改善肠易激综合征症状，能改善患者伴随的焦虑、抑郁，提高患者的生活质量。

Effect of psychological treatment for patients with irritable bowel syndrome

Objective: To observe the therapeutic effect of psychological treatment on patients with irritable bowel syndrome. Methods: Fifty seven patients were enrolled in this study and were randomly divided into two groups: the experimental group （EG）and the control group（CG）. Both groups were treated for 12 weeks. Results: After treatments, global symptoms and all the other symptoms except for abdominal distension, especially abdominal pain or discomfort were released in the EG (5.10±0.74 vs 3.10±1.10, P＜0.05). The overall average scores of Symptom Cheecklist 90, Hamilton Anxiety Scale and Hamilton Depression, also especially the scores of depression (2.45±0.03 vs 1.34±0.04, P＜0.01) and anxiety (2.56±0.07 vs 1.46±0.07, P＜0.01) were significantly decreased in the EG. Conclusion： Psychological treatment is an effective and safe treatment for patients with irritable bowel syndrome.