邹涛,高旭芳,付胡海,朱祥路
ZOU Tao,GAO Xufang,FU Huhai,ZHU Xianglu(1.Psychology Department

• 1:贵阳医学院附院心理科
• 2:贵阳医学院附院
• 3:武汉长江航运总医院武汉脑科医学神经内科
• 4:武警贵州总队第一支队卫生队

摘要(Abstract)：

目的:探讨脑电生物反馈治疗广泛性焦虑的疗效。方法:广泛性焦虑病人随机分为研究组和对照组,各30例,均给予帕罗西汀20 mg/d和阿普唑仑0.4 mg/d(睡前)治疗4周,研究组同时行脑电生物反馈治疗,每周5次,每次30 min,连续两周,采用匹兹堡睡眠量表(PSQI)和90项症状自评量表(SCL-90)评定疗效。结果:治疗4周后,两组PSQI、SCL-90评分较入组时显著降低,研究组较对照组疗效更明显,P<0.05;治疗前PSQI评分,两组男女均无差异(P>0.05),治疗后研究组男女无差异(P>0.05),对照组睡眠效率男性高于女性,P<0.05;SCL-90评分,研究组和对照组治疗前躯体化因子、强迫因子及焦虑因子女性高于男性,P<0.05;治疗前,研究组躯体化因子女性高于男性,P<0.05,对照组强迫因子女性高于男性,P<0.05,两组治疗后男女无差异(P>0.05)。结论:脑电生物反馈辅助治疗广泛性焦虑的疗效优于单纯药物治疗,男女疗效无差异。
Objective:To study the curative effect of electroencephalo-biofeedback adjunctive therapy(EBA)to general anxiety disorder.Methods: Sixty general anxiety disorder patients were randomly divided into two groups(30 in each): experiment group(group E) and drug treatment group(group D).All of them were given treatment of paroxetine(10～20 mg/d) and alprazolam(0.4 mg/d,qn) for four weeks.Besides,patients in group E received 10 times of EBA treatment in two weeks.PSQI tests were employed to assess treatment results.Results: PSQI scores of the two groups decreased obviously compared with the baseline(P<0.05),and the difference between the two group was significant(P<0.05).Conclusion: Drug treatment plus EBA is more effective to general anxiety disorder than drug treatment alone.

关键词(KeyWords)： 焦虑;脑电描电术;帕罗西汀;阿普唑仑;生物反馈(心理学)
anxiety;electroencephalography;paroxetine;alprazolan;biofeedback(psychology)

Abstract:

Keywords:

基金项目(Foundation): 贵阳医学院博士基金资助项目

作者(Author): 邹涛,高旭芳,付胡海,朱祥路
ZOU Tao,GAO Xufang,FU Huhai,ZHU Xianglu(1.Psychology Department

DOI: 10.19367/j.cnki.1000-2707.2010.02.010

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