围绝经期综合征的综合治疗疗效分析(1)
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[摘要] 目的 探讨围绝经期综合征的综合治疗效果。 方法 对60例围绝经期综合征心理和精神障碍患者分别采用雌激素联合抗抑郁、抗焦虑药物并辅以心理支持综合治疗(30例，综合组)和单用雌激素治疗(30例，单用组)，于治疗前及治疗3个月后应用症状自评量表(SCL-90)评定疗效。 结果 经3个月治疗综合组SCL-90评分降低值显著高于单用组，两组有效率分别为83.3%和40.0%，有显著性差异(χ2=12.45，P < 0.01)。 结论 围绝经期综合征患者出现的绝经相关症状、心理和精神障碍，综合治疗是最合理、最有效的。
[关键词] 围绝经期综合征；症状自评量表(SCL-90)；绝经相关症状；心理和精神障碍；综合治疗
[中图分类号] R711.75 [文献标识码] B [文章编号] 1673-9701(2012)30-0139-02
Efficacy of the comprehensive treatment of menopausal syndrome
LV Xuedi1 WU Yun2
1.Department of Obstetrics and Gynecology， Beijiao Branch of Taizhou Fourth People's Hospital in Jiangsu Province， Taizhou 225300， China； 2.Department of Psychiatrics， Taizhou Fourth People's Hospital， Taizhou 225300， China
[Abstract] Objective To explore the comprehensive treatment of menopausal syndrome. Methods Sixty cases of menopausal syndrome patients with psychological and mental disorders were estrogen combined antidepressant， antianxiety drugs， and supplemented by comprehensive treatment of psychological support (30 cases consolidated group) and with estrogen therapy (30 cases， single group)， before treatment and after 3 months of treatment symptom Checklist (SCL-90) to assess the clinical efficacy. Results After comprehensive treatment， 3 months group of SCL-90 scores decreased significantly higher than only used group， the two groups the efficacy rate had 83.3% and 40.0%， respectively， with a significant difference (χ2= 12.45， P < 0.01). Conclusion Menopausal syndrome menopause-related symptoms， psychological and mental disorders， comprehensive treatment is the most reasonable and the most effective.
[Key words] Postmenopausal syndrome； Symptom checklist (SCL-90)； Menopausal symptoms； Psychological and mental disorders； Comprehensive treatment ......
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