摘要
目的:探讨心理治疗联合^(131)I治疗对女性甲状腺机能亢进(以下简称甲亢)患者的焦虑和抑郁水平以及疗效的影响。方法:将480例女性甲亢患者分为心理治疗组(单日患者,n=248)和对照组(双日患者,n=232)。对照组只给予^(131)I治疗,心理治疗组则在^(131)I治疗前实施心理治疗。在^(131)I治疗后3个月时,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)测评两组的焦虑和抑郁水平,并比较两组的治愈率差异。两组患者均在^(131)I治疗后1、3、6个月时进行甲状腺激素FT3、FT4和TSH检测。结果:心理治疗组的SAS和SDS平均得分均显著低于对照组,差异有统计学意义(P<0.01)。此外,心理治疗组的治愈率明显高于对照组,差异有统计学意义(P<0.01)。结论:心理治疗能改善^(131)I治疗的女性甲亢患者的焦虑和抑郁水平,并提高其疗效。
Objective：To investigate the effects of psychological intervention on the curative rate and the levels of anxiety and depression in female patients with hyperthyroidism receiving 131 I treatment.Methods：Four hundred and eighty patients were divided into intervention group （n=248）and control group（n=232）.The patients of control group received 131I treatment on-ly,while those in the intervention group received psychological intervention before 131 I treatment.At 3 months after 131 I treat-ment,anxiety and depression were evaluated using Self-rating Anxiety Scale （SAS）and Self-rating Depression Scale （SDS）.For the assessment of curative rate,FT3,FT4 and TSH levels were examined at 1,3,6 months after 131 I treatment.Results：The average scores of SAS and SDS in the intervention group were both significantly lower than those in the control group （P 〈 0.01）.In addition,the curative rate in the intervention group was higher than that in the control group （P 〈 0.01）.Conclusion：Psycho-logical intervention can attenuate the anxiety and depression levels,and improve the curative rate in female patients with hyper-thyrodism receiving 131 I treatment.
出处
《中外女性健康研究》
2016年第10期1-2,4,共3页
Women＇s Health Research
