【摘要】：目的觀察在藥物治療基礎(chǔ)上的心理干預(yù)對(duì)持續(xù)性中-重度變應(yīng)性鼻炎的治療效果如何。方法將符合入選標(biāo)準(zhǔn)的60例持續(xù)性中-重度變應(yīng)性鼻炎患者隨機(jī)分為對(duì)照組、研究組共2組,對(duì)照組僅給予單純藥物治療,研究組在給予與對(duì)照組相同藥物治療的基礎(chǔ)上,加以心理干預(yù),心理干預(yù)選用認(rèn)知行為療法,以上兩組均治療12周,并于治療前、治療后均采用SAS、SDS、RQLQ三項(xiàng)量表評(píng)分,以評(píng)估患者治療前后的焦慮、抑郁狀態(tài),以及生活質(zhì)量變化并進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果對(duì)照組治療后SAS、SDS評(píng)分(50.57±3.64、52.77±5.11)均分別低于治療前(55.63±5.42、59.57±6.23),差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。研究組治療后SAS、SDS評(píng)分(45.83±3.97、46.03±3.21)均分別低于治療前(56.20±3.81、58.53±5.16),差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。且研究組治療后SAS、SDS評(píng)分(45.83±3.97、46.03±3.21)較對(duì)照組(50.57±3.64、52.77±5.11)更低,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。對(duì)照組治療后RQLQ各維度評(píng)分(7.13±1.28、3.77±0.90、15.90±1.69、5.43±1.94、7.03±1.35、6.03±1.35、7.10±1.09)均分別低于治療前(11.97±1.54、6.73±1.34、24.30±2.55、10.83±1.91、13.93±2.13、9.77±1.70、11.20±2.06),差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。研究組治療后RQLQ各維度評(píng)分(6.67±1.45、2.87±0.78、12.47±1.63、5.80±1.09、6.43±1.13、5.70±1.15、5.73±1.46)均分別低于治療前(11.93±1.28、7.03±1.30、23.73±2.70、11.23±2.14、14.53±2.30、9.33±1.56、11.37±1.88),差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。經(jīng)兩種不同方案治療后,在睡眠、非鼻/眼癥狀、情感3個(gè)維度評(píng)分中,研究組(2.87±0.78、12.47±1.63、5.73±1.46)均低于對(duì)照組(3.77±0.90、15.90±1.69、7.10±1.09),差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。而研究組的日常生活、實(shí)際問題、鼻部癥狀、眼部癥狀4個(gè)維度評(píng)分(6.67±1.45、5.80±1.09、6.43±1.13、5.70±1.15)與對(duì)照組(7.13±1.28、5.43±1.94、7.03±1.35、6.03±1.35)的差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論1、藥物治療、藥物治療加以心理干預(yù)這兩種治療方案均能減輕持續(xù)性中-重度AR患者的焦慮、抑郁狀態(tài),改善其生活質(zhì)量。2、從改善持續(xù)性中-重度AR患者的精神心理紊亂以及生活質(zhì)量的療效看來,在藥物治療的基礎(chǔ)上加以心理干預(yù)優(yōu)于單純使用藥物治療。
[Abstract]:Objective to observe the therapeutic effect of psychological intervention on persistent moderate to severe allergic rhinitis. Methods Sixty patients with persistent moderate to severe allergic rhinitis were randomly divided into control group and control group. The control group was only given simple drug treatment. The study group was given psychological intervention on the basis of the same drug treatment as the control group, and cognitive behavioral therapy was used for psychological intervention. Both groups were treated for 12 weeks, and all of them were scored by SAS,SDS,RQLQ before and after treatment. The changes of anxiety, depression and quality of life before and after treatment were evaluated and statistically analyzed. Results after treatment, the SAS,SDS scores of the control group (50.57 鹵3.64, 52.77 鹵5.11) were significantly lower than those before treatment (5563 鹵5.42, 59.57 鹵6.23), and the difference was statistically significant (P 0.05). The SAS,SDS scores of the study group after treatment (45.83 鹵3.97, 46.03 鹵3.21) were lower than those before treatment (56.20 鹵3.81, 58.53 鹵5.16), the difference was statistically significant (P 0.05). The SAS,SDS score of the study group (45.83 鹵3.97, 46.03 鹵3.21) was lower than that of the control group (50.57 鹵3.64, 52.77 鹵5.11), the difference was statistically significant (P 0.05). After treatment, the scores of RQLQ in the control group (7.13 鹵1.28, 3.77 鹵0.90, 15.90 鹵1.69, 5.43 鹵1.94, 7.03 鹵1.35, 6.03 鹵1.35, 7.10 鹵1.09) were significantly lower than those before treatment (11.97 鹵1.54, 6.73 鹵1.34, 10.83 鹵1.91, 13.93 鹵2.13, 9.77 鹵1.70, 11.20 鹵2.06). After treatment, the scores of RQLQ in the study group (6.67 鹵1.45,2.87 鹵0.78, 12.47 鹵1.63, 5.80 鹵1.09, 6.43 鹵1.13, 5.70 鹵1.15, 5.73 鹵1.46) were significantly lower than those before treatment (11.93 鹵1.28, 7.03 鹵1.30, 23.73 鹵2.70, 11.23 鹵2.14, 14.53 鹵2.30, 9.33 鹵1.56, 11.37 鹵1.88). After treatment with two different regimens, the scores of sleep, non-nasal / eye symptoms and emotion in the study group (2.87 鹵0.78, 12.47 鹵1.63, 5.73 鹵1.46) were significantly lower than those in the control group (3.77 鹵0.90, 15.90 鹵1.69, 7.10 鹵1.09) (P 0.05). However, there was no significant difference in daily life, practical problems, nasal symptoms and eye symptoms between the study group and the control group (6.67 鹵1.45, 5.80 鹵1.09, 6.43 鹵1.13, 5.70 鹵1.15) and the control group (7.13 鹵1.28, 5.43 鹵1.94, 7.03 鹵1.35, 6.03 鹵1.35) (P 0.05). Conclusion 1. Drug therapy with psychological intervention can reduce anxiety, depression and improve the quality of life of patients with persistent moderate to severe AR. 2. From the point of view of improving the mental and psychological disorder and quality of life of patients with persistent moderate to severe AR, psychological intervention on the basis of drug treatment is superior to drug therapy alone.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R765.21

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 呂曉飛;錫琳;韓德民;張羅;;哮喘對(duì)變應(yīng)性鼻炎患者精神心理的影響[J];中國耳鼻咽喉頭頸外科;2014年11期

2 錫琳;曹飛飛;熊巍;賀飛;張羅;;變應(yīng)性鼻炎患者焦慮狀態(tài)分析[J];中華耳鼻咽喉頭頸外科雜志;2014年10期

3 趙麗波;張穎;李莉;李文文;周維國;王強(qiáng);;心理干預(yù)對(duì)惡性腫瘤患者焦慮、抑郁狀態(tài)及生活質(zhì)量的影響[J];神經(jīng)疾病與精神衛(wèi)生;2012年05期

4 錫琳;張羅;;變應(yīng)性鼻炎患者的心理人格測(cè)試[J];中華耳鼻咽喉頭頸外科雜志;2012年08期

5 武靜;;變應(yīng)性鼻炎患者的人格特征及醫(yī)療對(duì)策[J];職業(yè)與健康;2011年19期

6 錫琳;張偉;趙巖;張羅;;變應(yīng)性鼻炎患者心理人格特征研究[J];中華耳鼻咽喉頭頸外科雜志;2011年08期

7 譚程;王燕平;王朋;王鵬;張佳佳;郭盛楠;趙吉平;;從情志變化試論過敏性鼻炎的針灸取穴思路[J];廣州中醫(yī)藥大學(xué)學(xué)報(bào);2011年03期

8 薛金梅;趙長(zhǎng)青;常麗萍;申慧梅;;變應(yīng)性鼻炎患者的心理因素分析[J];中國藥物與臨床;2010年08期

9 黃子真;張革化;趙耕;葉進(jìn);劉賢;陳玉蓮;楊欽泰;李源;;變應(yīng)性鼻炎患者生活質(zhì)量研究[J];中華耳鼻咽喉頭頸外科雜志;2010年06期

10 呂曉飛;張羅;;變應(yīng)性鼻炎與精神心理紊亂[J];國際耳鼻咽喉頭頸外科雜志;2010年02期

，

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