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[精神自主神经功能紊乱的光疗法]

[The phototherapy of psycho-autonomic disorders].

作者信息

Solov'eva A D, Fishman E Ia

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 1996;96(3):67-71.

PMID:8992841
Abstract

26 patients with psychovegetative disorders of neurotic origin (vegetative dystonia syndrome, hyperventilation syndrome, panic attacks, headache, insomnia, motivation disorders) were treated. Light therapy (LT) was carried out every day during 2 weeks. The light of 4500-5000 lux was applied during 1 hour (the distance-60 cm). As a result positive effect was revealed in 11 patients while there was no effect in 15 individuals. The positive effect was observed as a decrease of clinical manifestations. Patients with positive treatment results were characterised by short disease duration, weak hypothalamus dysfunction, astheno-depressive disorders prevalence. Negative effect of LT was observed in patients with longer duration of disease, more severe hypothalamic dysfunction together with anxious and astheno-hypochondriac syndrome. The conclusion a made that LT effect is associated with the character and the degree of psychovegetative disorders, but not with presence or absence of hypothalamic dysfunction.

摘要

对26例神经源性精神植物神经功能障碍(植物神经功能紊乱综合征、换气过度综合征、惊恐发作、头痛、失眠、动机障碍)患者进行了治疗。在两周内每天进行光疗(LT)。以4500 - 5000勒克斯的光照强度照射1小时(距离为60厘米)。结果显示,11例患者有积极效果,15例患者无效果。积极效果表现为临床表现减轻。治疗结果为阳性的患者具有病程短、下丘脑功能障碍较轻、衰弱性抑郁障碍患病率低的特点。在病程较长、下丘脑功能障碍较严重且伴有焦虑和衰弱性疑病综合征的患者中观察到光疗的负面影响。得出的结论是,光疗效果与精神植物神经功能障碍的性质和程度有关,而与下丘脑功能障碍的有无无关。

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