综合性心理干预对YAG激光治疗生理性玻璃体混浊的作用研究

发布时间：2018-03-24 07:31

本文选题：心理干预　切入点：钇铝石榴石激光　出处：《重庆医科大学学报》2017年10期

【摘要】：目的:观察综合性心理干预对钇铝石榴石(yttrium-aluminum garnet,YAG)激光治疗生理性玻璃体混浊患者临床疗效的影响。方法:筛选2016年1月至2016年12月期间100例生理性玻璃体混浊的患者,按随机数字表法分为实验组和对照组,每组各50例,实验组采取YAG激光治疗联合综合性心理干预;对照组仅单独采取YAG激光治疗及常规护理。2组分别于术前填写凯斯勒心理困扰量表(Kessler psychological distress scale,K-10),术后3个月进行临床疗效评价并再次填写K-10量表。结果:2组治疗前K-10量表组间比较,差异无统计学意义(P0.05),治疗后3个月K-10量表与治疗前差值比较,2组均有统计学意义(P0.05),患者的心理困扰程度降低,2组组间比较,实验组下降幅度较对照组大,差异有统计学意义(P0.05);治疗后3个月疗效和综合满意度比较,2组之间的疗效差异具有统计学意义(P0.05),实验组的主觉症状改善率与综合满意度明显优于对照组。结论:心理干预对YAG激光治疗生理性玻璃体混浊有显著辅助作用。
[Abstract]:Objective: To observe the effect of comprehensive psychological intervention of yttrium aluminum garnet (yttrium-aluminum, garnet, YAG) effects of laser treatment of vitreous body physiological opacity patients clinical curative effect. Methods: from January 2016 to December 2016 during the screening of 100 cases of patients with vitreous body muddy reason, according to the random number table method divided into experimental group and control group, 50 cases in each group, experiment group was treated with YAG laser therapy combined with comprehensive psychological intervention; the control group only take YAG laser therapy and routine nursing group.2 respectively before surgery to fill Kessler psychological distress scale (Kessler psychological distress scale, K-10), after 3 months of clinical evaluation and complete K-10 scale again. Results: the treatment in the 2 groups the K-10 scale between the two groups, the difference was not statistically significant (P0.05), 3 months after treatment compared with before treatment K-10 scale difference, 2 groups were statistically significant (P0.05), psychological distress in patients with history The degree of reduction between the 2 groups, the experimental group decreased significantly than the control group, the difference was statistically significant (P0.05); comparison and comprehensive satisfaction curative effect after 3 months of treatment, the curative effect was statistically significant differences between the 2 groups (P0.05), and the rate of satisfaction was significantly better than the control group to improve the symptoms of experimental group. Conclusion: the psychological intervention on YAG laser treatment have significant physiological vitreous body muddy supporting role.

【作者单位】：重庆市人民医院(中山院区)眼科;
【基金】：重庆市卫生计生委医学科研资助项目(编号:2015MSXM073)
【分类号】：R776.4

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