药物诱导催眠技术在急诊分离障碍中的应用

张莉 ;董丽平 ;童萍 ;张淑芳 ;高霞 ;孙亭 ;石元洪

神经损伤与功能重建 ›› 2020, Vol. 15 ›› Issue (2) : 87-90.

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神经损伤与功能重建 ›› 2020, Vol. 15 ›› Issue (2) : 87-90.
论著

药物诱导催眠技术在急诊分离障碍中的应用

  • 张莉1 ,董丽平2 ,童萍2 ,张淑芳1 ,高霞2 ,孙亭2 ,石元洪2
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Drug-Induced Hypnosis in Clinical Emergency Care of Dissociation Disorder Patients

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摘要

目的:前瞻性探索药物诱导催眠技术在急诊治疗分离障碍(DD)中的作用。方法:根据患者的治疗意 愿将患者分为3组,即A组(不干预)、B组(服用抗精神病药物)和C组(药物诱导下催眠)。评定临床效果、 分离体验量表(DES)评分和不良反应,随访观察3月。结果:共83例患者完成试验。临床疗效评分和DES 评分有相似结果。针对不同的时间点,与A组相比,在第2周仅C组差异有统计学意义(P<0.05);而在其他 时间点,B、C 2组均差异有统计学意义(P<0.05)。各组别内部,与12周比较,B组在第2、4周差异有统计学 意义(P<0.05)。C组不良反应比率低于B组(P<0.05)。结论:药物治疗见效较慢,但疗效渐增,不良反应 较多;催眠治疗则相反。

Abstract

To evaluate the effectiveness of drug-induced hypnosis for clinical emergency care in patients with dissociation disorder (DD). Methods: According to the willingness of patients to accept type of treatment, patients were divided into 3 groups, including group A (no intervention), group B (medicine), and group C (drug-induced hypnosis). The therapeutic effect (TE), Dissociative Experience Scale (DES), and adverse reactions were evaluated, and patients were followed up for 3 months. Results: A total of 83 patients completed the study. TE and DES yielded similar results. For different time points, compared with group A, the differences were significant only for group C at the 2nd week of treatment (P<0.05); at other time points, group B and group C both showed significant difference (P<0.05). Within each group, compared with the 12th week, group B showed significant difference at the 2nd and 4th week (P<0.05). The rates of adverse reactions in group C were lower than those in group B (P<0.05). Conclusion: The effect of DD treatment by medicine increases relatively slow, and there are more adverse reactions. Hypnosis therapy is just the opposite.

关键词

催眠 / 药物诱导 / 急诊 / 分离障碍

Key words

hypnosis

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张莉 ;董丽平 ;童萍 ;张淑芳 ;高霞 ;孙亭 ;石元洪. 药物诱导催眠技术在急诊分离障碍中的应用[J]. 神经损伤与功能重建. 2020, 15(2): 87-90
Drug-Induced Hypnosis in Clinical Emergency Care of Dissociation Disorder Patients[J]. Neural Injury and Functional Reconstruction. 2020, 15(2): 87-90

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