肛门直肠神经官能症的临床症状与治疗现状分析

Analysis of the current situation of clinical symptoms and treatment of anorectal neurosis.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(1)
作者
作者单位

西安医学院第二附属医院 ;

摘要
探讨肛门直肠神经官能症的临床症状与治疗现状。方法 分析我院在2010年1月至2014年1月期间收治的共160例诊断为肛门直肠神经官能症患者的临床症状,将患者随机分为研究组和对照组, 对照组采用.1,11:·位注射治疗, 研究组采用 大位注射治疗联合精神治疗, 疗程结束后使用汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评估其精神障碍,使用症状自评量表(SCL-90) 评估患者的临床症状。结果 160例肛门直肠神经官能症中, 肛门坠胀者144例、便意频率增高者102例、失眠伴轻微呼吸困难症状者84例、排便困难者74例、肛周疼痛者68例、肛周异物感者58例、肛门療瘁者42例。经治疗后,研究组的 HAMA、 HAMD、SCL-90评分明显优于对照组 (P<0. 01) 。 结论 月1[:门直肠神经官能症患者以肛周感觉不适或疼痛伴焦虑紧张等精神失常为主要症状, 无明显器质性病变; 大位注射联合精神治疗可以有效缓解肛门 直.肠神经官能症的精神障碍, 消除临床症状, 具有积极的应用前景 。
Abstract
〇bjective To investigate the clinical symptoms and therapeutic status of anorectal neurosis.Methods The clinical symptoms of a total of 160 cases of anorectal neurosis were investigated, these patients were divided into research group and control group, patients in research group were treated with acupoint injection, while those in research group were cured with acupoint injection combined with spiritual healing. After the treatment, clin- ical symptoms were evaluated with SCL-90 scale, whereas and clinical symptoms were evaluated with SCL-90 and the mental disorders were assessed with HAMA and HAMD scales. Results There were 144 cases of anal swell, 102 cases of wanted stool feeling, 84 cases of insomnia with mild breathing difficulties, 74 cases with bowel prob- lems, 68 cases of anal pain, 58 cases of perianal foreign body sensation, 42 cases of anal itching in the 160 patients with anorectal neurosis. After treatment, the HAMA, HAMD and SCL-90 scores of research group were significantly better than control group(P<0.01). Conclusion The main cardinal symptoms of patients with anorectal neurosis were perianaldiscomfort or pain associated with intense anxiety and other mental disorders as the main symptoms, and no organic disease were detected. Acupoint injection combined with spiritual healing could effectively mitigate mental disturbance and eliminate clinical symptoms, and thus have positive application prospect.
关键词
肛门直肠神经官能症;临床症状;精神障碍
KeyWord
Anorecta1 neurosis; Clinica1 symptom; Menta1 disturbance
基金项目
页码 93-95
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王林泉*,董炳耀, 张允东, 王毓. 肛门直肠神经官能症的临床症状与治疗现状分析 [J]. 国际精神病学杂志. 2016; 43; (1). 93 - 95.

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