【摘要】 目的:前瞻性探索药物诱导催眠技术在急诊治疗分离障碍(DD)中的作用。方法:根据患者的治疗意愿将患者分为3组,即A组(不干预)、B组(服用抗精神病药物)和C组(药物诱导下催眠)。评定临床效果、分离体验量表(DES)评分和不良反应,随访观察3月。结果:共83例患者完成试验。临床疗效评分和DES评分有相似结果。针对不同的时间点,与A组相比,在第2周仅C组差异有统计学意义(P<0.05);而在其他时间点,B、C 2组均差异有统计学意义(P<0.05)。各组别内部,与12周比较,B组在第2、4周差异有统计学意义(P<0.05)。C组不良反应比率低于B组(P<0.05)。结论:药物治疗见效较慢,但疗效渐增,不良反应较多;催眠治疗则相反。更多还原

【Abstract】 Objective: To evaluate the effectiveness of drug-induced hypnosis for clinical emergency care in patients with dissociation disorder（DD）. Methods: According to the willingness of patients to accept type of treatment, patients were divided into 3 groups, including group A（no intervention）, group B（medicine）, and group C（drug-induced hypnosis）. The therapeutic effect（TE）, Dissociative Experience Scale（DES）, and adverse reactions were evaluated, and patients were followed up for 3 months. Results: A total of 83 patients completed the study. TE and DES yielded similar results. For different time points, compared with group A, the differences were significant only for group C at the 2^nd week of treatment（P<0.05）; at other time points, group B and group C both showed significant difference（P<0.05）. Within each group, compared with the 12^th week, group B showed significant difference at the 2^nd and 4^th week（P<0.05）. The rates of adverse reactions in group C were lower than those in group B（P<0.05）. Conclusion: The effect of DD treatment by medicine increases relatively slow, and there are more adverse reactions. Hypnosis therapy is just the opposite.更多还原