老年胃食管反流病患者心理障碍和疗效分析(1)
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[摘要] 目的 研究老年胃食管反流病(GERD)患者的心理障碍情况，并探讨干预措施。 方法 选择我院2010年2月~2011年9月住院和门诊老年GERD患者198例(GERD组)，选择同期体检健康者180例作为对照组，采用Zung抑郁自评量表(SDS)和修改后的Zung焦虑自评量表(SAS-CR)对两组在入院初期或初诊时完成首次评分，然后给予患者心理干预及抗抑郁等药物治疗，疗程为8周。采用反流性疾病问卷(RDQ)对GERD患者治疗前后进行症状评分，并进行比较。采用SDS和SAS-CR对两组患者进行治疗前后评分，并进行比较。同时计算两组抑郁状态、焦虑状态的发生率。 结果 治疗后GERD组患者的SDS、SAS-CR评分均明显高于对照组(P < 0.05)。治疗后GERD组RDQ评分较治疗前明显下降(P < 0.05)，SDS、SAS-CR评分均明显下降(P < 0.05)。GERD组抑郁和焦虑发生率较对照组明显增高(P < 0.05)。 结论 GERD患者存在不同程度的焦虑、抑郁等心理障碍，遵从生物-心理-社会医学模式给予心理干预及抗抑郁药物等综合治疗，疗效显著。
[关键词] 胃食管反流病；抑郁；焦虑；心理干预；老年
[中图分类号] R571 [文献标识码] B [文章编号] 1673-7210(2012)02(b)-0158-03
Psychological disorders and treatment efficacy of elderly patients with gastroesophageal reflux
LI Changcheng SHI Li'nan
Department of Internal Medicine, the Third People's Hospital of Puyang City, He'nan Province, Puyang 457000, China
[Abstract] Objective To investigate psychological disorders of elderly patients with gastroesophageal reflux disease (GERD) and to explore the possible interventions. Methods 198 cases of inpatient and outpatient elderly GERD patients admitted in our hospital from February 2010 to September 2011 were chosen as the GERD group and 180 cases of healthy patients receiving physical examination over the same period were chosen as control group. The two groups were assessed with Zung self-rating depression scale (SDS) and the modified Zung anxiety and self-rating scale (SAS-CR) upon admission or first hospital visit. Patients were given psychological intervention and antidepressant drug treatment for 8 weeks. Symptoms before and after treatment of GERD patients were assessed and compared with reflux disease questionnaire (RDQ). Both groups were assessed and compared before and after treatment with SDS and SAS-CR. Incidence of depression and anxiety of the two groups were also calculated. Results SDS and SAS-CR scores of the GERD group were significantly higher than that of the control group after treatment (P < 0 ......
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