軀體化障礙患者的臨床特征分析及藥物治療52例分析

[摘要] 目的 分析軀體化障礙患者的臨床特征及藥物治療對軀體化障礙患者的臨床應用效果。方法 從該院2014年1月—2015年12月收治的患者中，方便選取52例軀體化障礙患者為研究對象，將其隨機分成對照組和觀察組，每組26例，對對照組患者采用常規治療方法，對觀察組患者采用帕羅西汀聯合奧氮平進行治療，比較兩組的治療效果，并通過癥狀自評量表、一般資料調查表和軀體形式障礙癥狀篩查量表來評定患者的臨床癥狀。結果 其中52例患者中，有27例（51.9%）出現呼吸難，有31例（59.6%）出現頭痛，有33例（63.5%）出現睡眠障礙，有16例（30.8%）出現關節疼痛，有38例（73.1%）表現出疲勞乏力。通過分析比較，觀察組的精神評分、生理功能、社會功能等生活質量評分明顯優于對照組，兩組比較差異具有統計學意義（P<0.05）。 結論 軀體化障礙患者的臨床特征復雜多樣，其中疼痛是最主要的臨床特征，對其采用藥物治療，可以明顯提高患者生理、心理等方面的生活質量評分，有效改善患者的生活質量。

[關鍵詞] 藥物治療；臨床特征；軀體化障礙

[中圖分類號] R749.9 [文獻標識碼] A [文章編號] 1674-0742（2016）12（b）-0134-03

Analysis of Clinical Features and Drug Treatment of 52 Cases of Patients with Physical Disabilities

ZHU Sheng-yin

Department of Neurology， Affiliated Hospital of Putian College， Putian，Fujian Province，351100 China

[Abstract] Objective To analyze the clinical characteristics of patients with physical disabilities and clinical application of drug therapy on patients with physical disabilities. Methods From our hospital in January 2014 to December 2015 were patients， Convenient selected 52 cases of patients with somatization disorder as the research object， were randomly divided into control group and observation group， 26 cases in each group， the control group was treated with routine treatment， the observation group were treated with Paroxetine Combined with olanzapine treatment， compared between the two groups the treatment effect， and through the symptom checklist， general information questionnaire and the symptom of somatoform disorders screening scale to assess the clinical symptoms of the patients. Results Among 52 patients， 27 cases （51.9%） breathing difficult， 31 cases （59.6%） headache， 33 cases （63.5%） suffered from sleep disorders， 16 cases （30.8%） appeared in joint pain， 38 cases （73.1%） showed fatigue. Through the analysis and comparison， the observation group of mental score， physiological function， social function and other quality of life scores were significantly better than the control group， the difference between the two groups was significant（P<0.05）. Conclusion The clinical features of patients with disorders of the body conclusion is complicated， which is the main clinical features of pain， the use of drug treatment， can significantly improve the quality of life score of patients with physiological and psychological aspects， effectively improve the quality of life of patients.

[Key words] Drug therapy； Clinical characteristics； Body type obstacle

軀體化障礙是一種慢性精神疾病，同時其又帶有焦慮障礙性。軀體化障礙具有反復性，容易涉及到多個器官，并且其癥狀體征具有復雜性，極大的增加了臨床診斷的難度[1]。目前針對軀體化障礙的科學研究還不常見，導致醫師對軀體化障礙的認識準備不足，患者往往需要經過反復檢查才能最終確診，極大了浪費了醫院的人力、物力，也容易耽誤患者的最佳治療時間。……