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目的 :观察综合性心理干预对甲状腺功能亢进症 (简称甲亢 )的疗效。方法 :将 10 3例甲亢患者按心理检查时单双序号随机分为研究组和对照组。研究组在常规药物治疗的基础上 ,采用行为干预治疗、生物反馈、放松训练、音乐疗法、支持性心理治疗等综合性心理干预 ,对照组仅常规药物治疗。观察两组治疗前、治疗后 3个月和 6个月的甲状腺功能———三碘甲腺原氨酸 (T3)、总甲状腺素 (T4 )、促甲状腺激素(TSH)、游离T3(FT3)、游离T4 (FT4 )、 2 4小时1 31 I摄取率 ,进行同期组间比较 ;同时进行治疗前和治疗后 6个月给两组患者测查生活质量评定问卷 (GQOL -74) ,进行同期组间比较。结果 :研究组治疗后 3个月和 6个月临床指标改善明显优于对照组 (P <0 0 5 ) ,治疗后 6个月研究组病人生活质量得分明显高于对照组。结论 :综合性心理干预能有效提高甲亢患者的临床治疗效果和生活质量。
Objective: To observe the effect of comprehensive psychological intervention on hyperthyroidism (Hyperthyroidism). Methods: One hundred and three hyperthyroid patients were randomly divided into study group and control group according to psychological examination. On the basis of conventional medical treatment, the research group adopted the comprehensive psychological intervention such as behavioral intervention, biofeedback, relaxation training, music therapy and supportive psychotherapy. The control group received only conventional medical treatment. Thyroid function (T3, T4, TSH, FT3 (FT3)) in the two groups before treatment, 3 months and 6 months after treatment were observed. ), Free T4 (FT4), 24 hours 1 31 I uptake rate were compared between the same period; at the same time before treatment and after 6 months of treatment for both groups to test the quality of life assessment questionnaire (GQOL -74) Comparison of the same period between groups. Results: At 3 months and 6 months after treatment, the clinical indexes of the study group were significantly better than those of the control group (P <0.05). After 6 months of treatment, the study group patients’ life quality score was significantly higher than that of the control group. Conclusion: Comprehensive psychological intervention can effectively improve the clinical effect and quality of life of patients with hyperthyroidism.