氟西汀联合心理干预对接受化疗的结肠癌患者心理状态及恶心呕吐发生率的影响

Effect of fluoxetine combined with psychological intervention on the psychological status and the incidence of nausea and vomiting in colon cancer patients receiving chemotherapy

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(6)
作者
作者单位

鹤壁市人民医院肿瘤内科 ;

摘要
【摘要】 分析结肠癌化疗患者给予心理干预结合氟西汀治疗后情绪转变及呕吐恶心发生率改变。方法 选取91例来本院就诊的结肠癌患者应用掷币法分为心理基础组及药物联合组两组,均接受化疗治疗,在此基础上,心理基础组患者45例增加心理干预,药物联合组46例患者应用氟西汀口服联合心理干预治疗,对比心理状态、血清因子、恶心呕吐、生活质量及安全性。结果 药物联合组SDS-20、SAS-20、EORTC QLQ-C30评分、NE水平、延迟性恶心、呕吐及急性恶心、呕吐频次低于心理基础组,5-HT高于心理基础组(P<0.05);bcl-2、(NF) -κB、Bax无统计学意义(P>0.05)。结论 米氮平联合心理治疗能够缓解结肠癌化疗患者抑郁焦虑情绪,减少恶心呕吐频次,改善生活质量,且不增加不良反应。
Abstract
[Abstract] Objective To analyze the changes in mood changes and the incidence of vomiting and nausea in colon cancer patients undergoing chemotherapy combined with psychological intervention and fluoxetine treatment. Methods A total of 91 patients with colon cancer who came to our hospital were divided into two groups: the psychological basic group and the drug combination group using coin toss. All received chemotherapy treatment. On this basis, 45 patients in the psychological basic group received psychological intervention, and the drug combination group 46 patients were treated with oral fluoxetine combined with psychological intervention to compare their psychological status, serum factors, nausea and vomiting, quality of life and safety. Results The frequency of SDS-20, SAS-20, EORTC QLQ-C30, NE level, delayed nausea, vomiting, and acute nausea and vomiting in the drug combination group was lower than that of the psychological foundation group, and 5-HT was higher than that of the psychological foundation group (P<0.05 ); bcl-2, (NF) -κB, Bax were not statistically significant (P>0.05). Conclusion Mirtazapine combined with psychotherapy can relieve depression and anxiety in patients with colon cancer chemotherapy, reduce the frequency of nausea and vomiting, improve the quality of life, and do not increase adverse reactions.
关键词
【关键词】氟西汀;心理干预;化疗;结肠癌;心理状态;恶心呕吐
KeyWord
[Keywords] fluoxetine; psychological intervention; chemotherapy; colon cancer; mental state; nausea and vomiting
基金项目
页码 1069-1072
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闫海山*. 氟西汀联合心理干预对接受化疗的结肠癌患者心理状态及恶心呕吐发生率的影响 [J]. 国际精神病学杂志. 2021; 48; (6). 1069 - 1072.

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