急性三光气体中毒的心理治疗

    Psychotherapy of acute trichloromethyl carbonate poisoning

    • 摘要: 目的:探讨心理治疗三光气体中毒的疗效。方法:将45例患者随机分为治疗组和对照组,治疗组在予吸氧、解痉、平喘、祛痰、预防感染、呼吸机辅助通气(重症者)等常规治疗的同时,加强心理治疗;而对照组只行常规治疗。并分别在治疗前、治疗后第7天和第14天对2组患者均采用多伦多述情障碍量表、焦虑自评量表和抑郁自评量表进行测试,进行对比分析。结果:治疗前2组患者均具有不同程度的焦虑和抑郁症状,差异无统计学意义(P0.05),在治疗第7天,治疗组焦虑和抑郁好转率均高于对照组(P0.01和P0.05);治疗前后2组患者病情轻、中、重程度,差异均无统计学意义(P0.05)。结论:意外光气中毒后,患者均具有不同程度的焦虑和抑郁症状,在常规治疗的同时,加强心理治疗,可缩短疗程,提高治愈率。

       

      Abstract: Objective:To investigate the psychotherapy effects on trichloromethyl carbonate poisoning.Methods:Forty-five patients were randomly divided into the treatment group and control group.These cases of the treatment group were treated with taking oxygen,antispasmodic,relieving asthma,expectorant,prevention infection,mechanical ventilation(for severe cases),conventional treatment combined with psychological treatment.However,cases in control group were only treated with conventional treatment.All cases were measured with Toronto Alexithymia scale,Self-Rating Anxiety Scale and Self-rating depression scale at 7 and 14 days before and after treatment,then data were conducted contrast analysis.Results:All cases had varying degrees anxiety and depression symptoms,and their differences had not statistically significant before treatment(P0.05).The anxiety and depression improved of treatment group were better than that of the control group at 7days after treatment,and the differences had statistically significant(P0.05).Before and after treatment,the degree of state of an illness of all cases had no significant difference(P0.05).Conclusions:The cases with trichloromethyl carbonate poisoning have varying degrees anxiety and depression symptoms.Conventional therapy combined with psychotherapy can shorten the course of treatment,and improve the cure rate of patients.

       

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