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目的:观察心理干预辅助治疗月经不调的疗效。方法:将月经不调62例随机分为观察组32例和对照组30例,观察组在常规药物治疗的同时采用心理干预治疗,对照组采用单纯常规药物治疗。治疗3个月经周期后,比较两组临床疗效和心理健康水平测评结果。结果:观察组治愈率为71.8%,对照组治愈率为50.0%,两组比较,差异非常显著(P<0.01)。两组治疗前躯体化、人际关系、焦虑、抑郁、精神病性因子分值与中国正常人常模比较,差异均显著(P<0.05);但两组比较,差异不显著(P>0.05)。治疗后,观察组躯体化、人际关系敏感、抑郁、焦虑、精神病性因子分值与中国正常人常模比较,差异均不显著(P>0.05),但与对照组比较,差异显著(P<0.05)。结论:心理干预对月经不调具有辅助治疗作用,同时可显著改善心理健康水平。
Objective: To observe the effect of psychological intervention on irregular menstruation. Methods: 62 cases of irregular menstruation were randomly divided into observation group (n = 32) and control group (n = 30). Patients in the observation group were treated with conventional interventions and psychological interventions while those in the control group were treated with conventional drugs only. After 3 menstrual cycles, the results of clinical evaluation and mental health evaluation were compared between the two groups. Results: The cure rate was 71.8% in the observation group and 50.0% in the control group. The difference between the two groups was significant (P <0.01). The scores of somatization, interpersonal relationship, anxiety, depression and psychotic factors before treatment in both groups were significantly different from those in normal Chinese (P <0.05). However, there was no significant difference between the two groups (P> 0.05). After treatment, the scores of somatization, interpersonal sensitivity, depression, anxiety and psychotic factors in observation group were not significantly different from those in normal Chinese (P> 0.05), but the difference was significant (P < 0.05). Conclusion: Psychological intervention has an adjuvant therapeutic effect on irregular menstruation, meanwhile it can significantly improve mental health.