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目的:观察心理干预对治疗甲状腺功能亢进(简称甲亢)疗效的影响。方法:将甲亢1600例随机分为对照A组、心理干预A组、对照B组和心理干预B组各400例。对照A组给予丙硫氧嘧啶300mg/d并辅以对症治疗,心理干预A组在对照A组治疗的基础上加心理干预;对照B组口服131I治疗,心理干预B组在对照B组治疗的基础上加心理干预;比较心理干预前后各指标恢复正常的有效率。结果:两A组治疗后心率、FT3、FT4和TSH指标恢复正常的有效率非常显著高于治疗前(P<0.01);心理干预A组治疗后心率、FT3、FT4和TSH指标恢复正常的有效率显著高于对照A组(P<0.05)。两B组治疗后心率、FT3、FT4和TSH指标恢复正常的有效率非常显著高于治疗前(P<0.01);心理干预B组治疗后心率、FT3、FT4和TSH指标恢复正常的有效率与对照B组比较,差异不显著(P>0.05)。结论:心理干预对药物治疗甲亢有益。
Objective: To observe the effect of psychological intervention on the treatment of hyperthyroidism (Hyperthyroidism). Methods: 1600 cases of hyperthyroidism were randomly divided into control group A, psychological intervention group A, control group B and psychological intervention group B 400 cases. Control group A given propylthiouracil 300mg / d and supplemented by symptomatic treatment, psychological intervention group A in the control group A treatment plus psychological intervention; control group B oral 131I treatment, psychological intervention group B in the control group B treatment Based on the psychological intervention; compare the psychological indicators before and after the return to normal efficiency. Results: The heart rate, FT3, FT4 and TSH index returned to normal in two A groups after treatment were significantly higher than those before treatment (P <0.01); Heart rate, FT3, FT4 and TSH returned to normal after psychological intervention in group A The efficiency was significantly higher than the control group A (P <0.05). The heart rate, FT3, FT4 and TSH index returned to normal in two B groups after treatment were significantly higher than those before treatment (P <0.01); heart rate, FT3, FT4 and TSH index returned to normal after psychological intervention group B Compared with control group B, the difference was not significant (P> 0.05). Conclusion: Psychological intervention is beneficial to the treatment of hyperthyroidism.