【摘要】 目的探讨药物联合合理情绪疗法治疗广泛性焦虑症(GAD)的临床疗效。方法选取我院2015年12月至2017年12月收治的66例GAD患者,按入院顺序随机分为研究组和对照组各33例。对照组单纯给予帕罗西丁进行治疗,研究组在对照组基础上采用合理情绪疗法。比较两组患者的临床总有效率、治疗前后的SAS、SDS评分及不良反应发生率。结果研究组的临床总有效率为96.97%,明显高于对照组的72.73%(P<0.05)。治疗前,两组患者的SAS、SDS评分比较均无统计学差异(P>0.05);治疗后,研究组的SAS、SDS评分均明显低于对照组(P<0.05)。研究组的不良反应发生率为3.03%,明显低于对照组的24.24%(P<0.05)。结论药物联合合理情绪疗法治疗GAD的效果显著,能够有效缓解患者的焦虑、抑郁心理,且无明显不良反应,是一种理想的治疗方式,具有较高的临床价值。更多还原

【Abstract】 Objective To explore the clinical curative effect of drug combined with rational emotional therapy in the treatment of generalized anxiety disorder(GAD). Methods 66 cases of GAD patients admitted to our hospital from December 2015 to December 2017 were selected and randomly divided into study group and control group according to the admission order, with 33 cases in each group. The control group only received paroxetine, while the study group received rational emotional therapy on the basis of the control group. The clinical total effective rate, SAS and SDS scores before and after treatment, and incidence of adverse reactions were compared between the two groups. Results The clinical total effective rate of the study group was 96.97%, significantly higher than 72.73% of the control group(P<0.05). Before treatment, no statistical difference was found in the SAS and SDS scores between the two groups(P >0.05); After treatment,the SAS and SDS scores of the study group were significantly lower than those of the control group(P <0.05). The incidence of adverse reactions of the study group was 3.03%, significantly lower than 24.24% of the control group(P <0.05). Conclusions Drug combined with rational emotional therapy has significant effect in the treatment of GAD, can effectively relieve patients’ anxiety and depression without obvious adverse reactions, which is an ideal treatment with higher clinical value.更多还原