【摘要】 为探讨团体认知行为治疗对功能性消化不良的临床疗效及复发率的影响,将53例符合罗马标准Ⅲ的功能性消化不良患者分为对照组和治疗组两组。对照组仅采用常规的药物治疗,治疗组在常规治疗的基础上给予10周的团体认知行为治疗。比较治疗前、后两组的临床症状、焦虑自评量表(SAS)和抑郁自评量表(SDS)的评分,并在治疗结束后第12月时随访,评估其复发率。治疗组临床症状评分的减分值大于对照组(P<0.05);治疗组情绪状态(SAS/SDS)评分的减分值大于对照组(P<0.05);治疗结束后第12月时随访,治疗组复发率(11.11%)明显低于对照组(26.92%)(P<0.01)。团体认知行为治疗联合药物治疗能有效改善功能性消化不良患者临床症状和情绪状态,降低复发率。更多还原

【Abstract】 To investigate the clinical efficacy of group cognitive behavior therapy on functional dyspepsia,and recurrence rate observed.53 cases in line with Roman standards Ⅲ in patients with functional dyspepsia were randomly divided into control and treatment two groups.The control group using only conventional drug therapy,the treatment group was given 10 weeks of group cognitive-line treatment on the basis of conventional drug therapy.Compare pre-treatment,the latter two groups of patients with clinical symptoms,SAS and SDS score,score subtraction before and after treatment to evaluate the reduction score,and after treatment the 12th month follow-up to assess the recurrence rate.The treatment group of clinical symptom score scores greater than that of the control group(P<0.05);the treatment group emotional state(SAS/SDS) score scores greater than that of the control group(P<0.05);the end of treatment and after twelfth months of follow-up,the recurrent rate in the treatment group(11.11%) was significantly lower than that of the control group(26.92%),(P<0.01).Group cognitive-behavioral therapy combined with drug therapy can be effective in improving functional dyspepsia patients with symptoms and emotional state and reduce the relapse rate.更多还原