论文部分内容阅读
目的:研究正念训练对一氧化二氮(笑气)成瘾患者的临床效果。方法:选择2019年6月至2020年6月期间于北京高新医院收治的笑气成瘾患者66例，采用随机数字表法将患者分为试验组(n n＝33)和对照组(n n＝33)。对照组患者进行太极拳训练及体能训练，试验组在太极拳训练及体能训练的基础上增加基于正念的干预训练，共进行8周。比较两组患者入院时及治疗8周后症状自评量表(symptom check list 90，SCL-90)评分及视觉模拟标尺(visual analog scales，VAS)渴求分数。采用SPSS 22.0软件进行统计分析，采用独立样本n t检验，配对样本n t检验比较组间和组内差异。n 结果:(1)治疗前两组SCL-90除抑郁[(2.45±0.86)分，(2.03±0.46)分](n t＝2.474，n P0.05)；治疗后试验组SCL-90躯体化[(1.38±0.35)分，(1.68±0.34)分](n t＝-3.656，n P<0.05)、恐怖[(1.49±0.37)分，(1.81±0.30)分](n t＝-3.993，n P<0.05)、偏执[(1.50±0.47)分，(1.88±0.31)分](n t＝-3.898，n P<0.05)、精神病性[(1.34±0.54)分，(1.55±0.27)分](n t＝-3.094，n P<0.05)因子分数均显著低于对照组。(2)治疗前两组VAS渴求分数差异无统计学意义(n t＝0.857，n P＝0.395)；治疗后试验组VAS渴求分数比对照组低，差异具有统计学意义(n t＝27.427，n P<0.05)。n 结论:正念训练干预能够有效改善一氧化二氮成瘾患者的临床症状，值得临床推广应用。“,”Objective:To study the effect of mindfulness-based training intervention on clinical efficacy in patients with nitrous oxide(laughing gas) addiction.Methods:From June 2019 to June 2020, sixty-six patients with nitrous oxide addiction in Beijing Gaoxin Hospital were selected and randomly divided into experimental group(n n=33) and control group(n n=33). The control group received Taijiquan training and physical training, while the experimental group added mindfulness-based training intervention on the basis of Taijiquan training and physical training.Symptom checklist 90 (SCL-90) scores and visual analog scales (VAS) craving scores were compared between the two groups at admission and 8 weeks after treatment.SPSS 22.0 software was used for statistical analysis.Independent sample n t test and paired sample n t test were used to compare the differences between groups and within groups.n Results:(1)Before treatment, there were no significant differences in subscale scores of SCL-90 between the two groups except for depression factor((2.45±0.86), (2.03±0.46), n t=2.474, n P<0.05). After treatment, the subscale scores of somatization((1.38±0.35), (1.68±0.34),n t=-3.656, n P<0.05), phobic anxiety((1.49±0.37), (1.81±0.30),n t=-3.993, n P<0.05), paranoid ideation((1.50±0.47), (1.88±0.31),n t=-3.898, n P<0.05) and psychotism((1.34±0.54), (1.55±0.27),n t=-3.094, n P<0.05) of SCL-90 in the experimental group were significantly lower than those in the control group.(2)Before treatment, there was no significant difference in VAS craving score between the two groups(n t=0.857, n P=0.395). After treatment, the score of VAS in the experimental group was significantly lower than that in the control group(n t=27.427, n P<0.05).n Conclusion:Mindfulness training intervention can effectively improve the clinical symptoms of patients with nitrous oxide addiction, which is worthy of clinical application.