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目的探讨心理干预对耳鸣的治疗效果。方法 2006年6月2009年3月对耳鼻喉科门诊以耳鸣为第一主诉的患者87例按单、双号分为两组,治疗组45例接受心理干预和药物治疗,对照组42例仅接受药物治疗。治疗前后耳鸣程度用症状自评量表SCL-90及主观评估进行比较,并作两组间的比较。结果两组患者治疗前SCL-90评分的差异无统计学意义(P>0.05)。治疗组治疗前后SCL-90在躯体化、人际关系敏感、抑郁、焦虑、敌对、恐怖和偏执因子的差异均有统计学意义(P<0.05)。对照组治疗前后各因子差异无统计学意义(P>0.05)。两组治疗前后躯体化、人际关系敏感、抑郁、焦虑,敌对、恐怖、偏执因子比较,差异均有统计学意义(P<0.05)。两组患者疗效均有改善,而治疗组改善更为明显(P<0.05)。结论心理干预对治疗耳鸣患者有较好的效果。
Objective To investigate the effect of psychological intervention on tinnitus. Methods Totally 87 patients were treated with tinnitus as the first chief complaint in otolaryngology clinic in June, 2006. According to the single and double numbers, 87 patients were divided into two groups. The treatment group received psychological intervention and medication, while the control group, 42 patients Accept medication. The level of tinnitus before and after treatment was compared with SCL-90 and subjective evaluation, and compared between the two groups. Results There was no significant difference in SCL-90 scores between the two groups before treatment (P> 0.05). SCL-90 in the treatment group before and after somatization, interpersonal sensitivity, depression, anxiety, hostility, terror and paranoid factors were statistically significant (P <0.05). There was no significant difference in each factor before and after treatment in the control group (P> 0.05). There were significant differences in somatization, interpersonal sensitivity, depression, anxiety, hostility, terror and paranoid factors between the two groups before and after treatment (P <0.05). The efficacy of both groups improved, while the treatment group improved more significantly (P <0.05). Conclusions Psychological intervention has a good effect on the treatment of tinnitus patients.