创伤后应激障碍患者康复方案中的非药物治疗技术应用
- 作者: Agasarov L.G.1,2, Konchugova T.V.2, Chesnikova E.I.1, Bokova I.A.1
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隶属关系:
- I.M. Sechenov First Moscow State Medical University
- National Medical Research Center for Rehabilitation and Balneology
- 期: 卷 24, 编号 1 (2025)
- 页面: 56-63
- 栏目: Original studies
- ##submission.datePublished##: 21.03.2025
- URL: https://rjpbr.com/1681-3456/article/view/641647
- DOI: https://doi.org/10.17816/rjpbr641647
- ID: 641647
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详细
研究目的。分析心理矫正与经皮电刺激相结合的康复方案在高危职业人员创伤后应激障碍(PTSD)中的作用机制及其疗效。
材料与方法。本研究纳入了 120 名多次参与战斗行动并表现出高度应激水平的男性受试者。研究对象分为两类(各 60 人):现役军人和退伍军人,并按年龄进一步分为 40 岁以下 和 50 岁以上 两组。大多数受试者,尤其是年龄较大的个体,表现出不同程度的神经精神障碍及躯体疾病,其中心血管系统病变最为常见。研究采用心理学和电生理学评估方法,对受试者的健康状况进行综合分析。研究的实践部分最初比较了两种心理放松训练方法(自生训练和呼吸训练)的效果,并在研究的下一个阶段引入经皮电刺激,以进一步评估其联合应用的康复效果。
结果。在评估心理矫正疗法的治疗潜力时,如预期所示,该疗法在中年人群中表现出更高的疗效。所得治疗效果与具体心理干预方法的选择关系不大,而在老年人群中,呼吸训练的疗效优于其他心理干预方法。此外,心理放松训练对中年人群的躯体健康具有积极影响,但对老年人群的治疗效果有限。鉴于此,呼吸训练进一步结合经皮电刺激,显著提高了整体治疗效果。
结论。研究结果证实了所提出的康复方案的有效性,并为健康恢复新项目的实施,尤其是针对社会重要人群,提供了新的发展前景。
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作者简介
Lev G. Agasarov
I.M. Sechenov First Moscow State Medical University; National Medical Research Center for Rehabilitation and Balneology
编辑信件的主要联系方式.
Email: lev.agasarov@mail.ru
ORCID iD: 0000-0001-5218-1163
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, 8/2, st. Trubetskaya, Moscow, 119048; 32 Novy Arbat st, Moscow, 121099Tatiana V. Konchugova
National Medical Research Center for Rehabilitation and Balneology
Email: konchugovaTV@nmicrk.ru
ORCID iD: 0000-0003-0991-8988
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, 32 Novy Arbat st, Moscow, 121099Ekaterina I. Chesnikova
I.M. Sechenov First Moscow State Medical University
Email: chesnikova@gmail.com
ORCID iD: 0000-0002-2603-6170
PhD candidate
俄罗斯联邦, 8/2, st. Trubetskaya, Moscow, 119048Irina A. Bokova
I.M. Sechenov First Moscow State Medical University
Email: dr.bokova@gmail.com
ORCID iD: 0000-0002-1640-1605
MD, Cand. Sci. (Medicine), Assistant Professor
俄罗斯联邦, 8/2, st. Trubetskaya, Moscow, 119048参考
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