山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (2): 69-70.doi: 10.6040/j.issn.1673-3770.0.2012.379

• 论著 • 上一篇    下一篇

心理干预对肉毒杆菌毒素治疗眼睑-面肌痉挛的影响

薄明香1,张影影2,张立贵2   

  1. 1.滨州医学院附属医院药学部,山东 滨州 256002;2.沪滨眼科医院,山东 滨州256003
  • 收稿日期:2012-12-21 发布日期:2013-04-16
  • 通讯作者: 张立贵,博士,主任医师。Email:liguizz@163.com
  • 作者简介:薄明香, 护师。Email:mingxiangb@163.com

Effects of psychological intervention on botulinum toxin for  Belepharospasm and Hemifacial spasm

BO Ming-xiang1, ZHANG Ying-ying2, ZHANG Li-gui2   

  1. 1. Department of Pharmacy, Affiliated Hospital of Binzhou Medical College, Binzhou 256002, Shandong, China; 2. Hubin Ophthalmology Hospital, Binzhou 256003, Shandong, China
  • Received:2012-12-21 Published:2013-04-16

摘要:

目的   探讨心理干预对用肉毒杆菌毒素治疗眼睑-面肌痉挛的效果。方法   将56例用肉毒杆菌毒素治疗的眼睑-面肌痉挛患者随机分为实验组(30例)和对照组(26例),对照组行常规护理,实验组除常规护理外积极进行心理干预。应用抑郁状态量表(SDS)和焦虑自评量表(SAS)在心理干预前后评分,比较两组患者的睡眠质量改善情况和SDS、SAS评分变化。结果   实验组患者睡眠质量明显改善,与对照组比较有统计学差异。两组治疗前后SDS和SAS评分均有统计学差异,实验组差异更为明显。结论   心理干预可以明显提高接受肉毒杆菌毒素治疗的眼睑-面肌痉挛患者的生活质量。

关键词: 心理干预, 眼睑-面肌痉挛, 焦虑, 抑郁, 肉毒杆菌毒素

Abstract:

Objective   To explore the effects of psychological intervention on botulinum toxin injections for Belepharospasm and Hemifacial spasm. Methods   Fifty-six patients with Belepharospasm and Hemifacial spasm who accepted botulinum toxin injection were randomly divided into experimental group(n=30) and control group(n=26). Conventional care was given to the two groups. In addition, the experimental group accepted psychological intervention. Self-rating depression scale (SDS) and self-rating anxiety scale (SAS) were used to evaluate the treatment efficacy. We contrasted the improvement of sleep quality and the grade point variation of SDS and SAS between the two groups. Results   The sleep quality in the experimental group was significantly better than that in the control group(P<0.01). The scores of SDS and SAS in the two groups were better after treatment than before treatment, and the difference was more obvious in the experimental group. Conclusion   There is a significant clinical effect of psychological intervention for Belepharospasm and Hemifacial spasm.

Key words: Psychological intervention, Botulinum toxin;Anxiety;depression, Belepharospasm and Hemifacial spasm

中图分类号: 

  • R395.5
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