寮�(qi谩ng)杩櫏灞簬寮�(qi谩ng)杩瀷浜烘牸闅滅鍡庯紵
銆�銆�寮�(qi谩ng)杩櫏鏄竴绋父瑕�(ji脿n)鐨勭劍鎱殰绀欙紝浠ュ弽寰�(f霉)鍑虹従(xi脿n)鐨勫挤(qi谩ng)杩�濈董鍜�/鎴栧挤(qi谩ng)杩鐐虹偤鐗瑰緛?锛涢鍙憋紦顥�?hu矛)闄峰叆鐒�(w煤)浼戞鐨勬摂(d膩n)鎲傚拰鍥版摼涓�锛屼笉寰椾笉閫氶亷(gu貌)鍩�(zh铆)琛岀壒瀹氱殑琛岀偤鎴栧剙寮忎締(l谩i)娓涜紩閫欑ó涓嶅畨銆傞�欑ó鐤剧梾鐨勭櫏鐙�鍤�(y谩n)閲嶅奖闊夸簡鎮ｈ�呯殑鏃ュ父鐢熸椿鍜屽伐浣滐紝绲︽偅鑰呭付渚�(l谩i)浜嗘サ澶х殑鐥涜嫤鍜屽洶鎿�銆�寮�(qi谩ng)杩櫏灞簬寮�(qi谩ng)杩瀷浜烘牸闅滅鍡�锛�
銆�銆�寮�(qi谩ng)杩櫏鐨勭櫏鐙�涓昏鍒嗙偤鍏╁ぇ椤烇細寮�(qi谩ng)杩�濈董鍜屽挤(qi谩ng)杩鐐�銆傚挤(qi谩ng)杩�濈董鏄寚鍙嶅京(f霉)鍑虹従(xi脿n)鐨勩�佷笉鍙楁杩庣殑銆佸挤(qi谩ng)鐑堢殑銆佷护浜虹棝鑻︾殑鎬濇兂銆佹矕鍕�(d貌ng)鎴栧績鐞嗗湒鍍�銆傞�欎簺鎬濈董寰�寰�鑸囨偅鑰呮墍闂�(gu膩n)蹇冪殑鍟�(w猫n)椤屾湁闂�(gu膩n)锛屽姹℃煋銆佸偡瀹�銆佺柧鐥�銆佹浜°�佸畻鏁欐垨鎬х瓑?锛涢鍜勄旓激杌岃洏J(r猫n)璀�(sh铆)鍒伴�欎簺鎬濈董鏄笉鍚堢悊鐨�锛屼絾鍗荤劇(w煤)娉曟帶鍒跺畠鍊戠殑鍑虹従(xi脿n)銆傚挤(qi谩ng)杩鐐烘槸鎸囨偅鑰呯偤浜嗘笡杓曞挤(qi谩ng)杩�濈董甯朵締(l谩i)鐨勭劍鎱拰涓嶅畨鑰屽弽寰�(f霉)鍩�(zh铆)琛岀殑琛岀偤鎴栧剙寮�銆傞�欎簺琛岀偤寰�寰�鍏锋湁涓�瀹氱殑瑕�(gu墨)寰嬫�у拰鍎�寮忔��锛屽鍙嶅京(f霉)娲楁墜銆佹鏌�銆佽▓(j矛)鏁�(sh霉)銆佹暣鐞嗘垨?q奴)銇ц煀锛稢绛夈��
銆�銆�寮�(qi谩ng)杩櫏鐨勭梾鍥犲皻涓嶅畬鍏ㄦ竻妤�锛岀洰鍓嶈獚(r猫n)鐐哄彲鑳借垏閬哄偝銆佺缍�(j墨ng)鐢熷寲銆佸績鐞嗙ぞ鏈�(hu矛)绛夊洜绱犳湁闂�(gu膩n)銆傜爺绌惰〃鏄�锛屽挤(qi谩ng)杩櫏鏈変竴瀹氱殑瀹舵棌鑱氶泦鎬э紝閬哄偝鍥犵礌鍦ㄧ櫦(f膩)鐥呬腑璧疯憲閲嶈浣滅敤銆傜缍�(j墨ng)鐢熷寲鐮旂┒涔熺櫦(f膩)鐝�(xi脿n)锛屽挤(qi谩ng)杩櫏鎮ｈ�呯殑澶ц叇涓煇浜涚缍�(j墨ng)閬炶唱(zh矛)姘村钩鐣板父锛屽5-缇ヨ壊鑳烘按骞抽檷浣庯紝鍙兘鑸囩柧鐥呯殑鐧�(f膩)鐢熸湁闂�(gu膩n)銆傛澶栵紝蹇冪悊绀炬渻(hu矛)鍥犵礌鍦ㄥ挤(qi谩ng)杩櫏鐨勭櫦(f膩)鐥呬腑涔熻捣钁楅噸瑕佷綔鐢�锛屽鐢熸椿浜嬩欢銆佸搴挵(hu谩n)澧冦�佹暀鑲叉柟寮忕瓑銆�
銆�銆�寮�(qi谩ng)杩櫏鐨勬不鐧備富瑕佸寘鎷棩鐗╂不鐧傚拰蹇冪悊娌荤檪銆傝棩鐗╂不鐧備富瑕佹槸閲濆皪(du矛)澶ц叇涓�5-缇ヨ壊鑳烘按骞崇殑鐣板父锛屽父鐢ㄧ殑钘ョ墿鏈夐伕鎿囨��5-缇ヨ壊鑳哄啀鏀濆彇鎶戝埗鍔�(SSRIs)鍜屼笁鐠�(hu谩n)椤炴姉鎶戦儊钘ョ瓑銆傚績鐞嗘不鐧備富瑕佸寘鎷獚(r猫n)鐭ヨ鐐虹檪娉�(CBT)鍜屾毚闇插弽鎳�(y墨ng)闋�(y霉)闃�(ERP)銆傝獚(r猫n)鐭ヨ鐐虹檪娉曟棬鍦ㄥ公鍔╂偅鑰呰獚(r猫n)璀�(sh铆)鍜屾敼璁婁笉鍚堢悊鐨勬�濈董鍜岃鐐猴紝鎻愰珮鎳�(y墨ng)灏�(du矛)鐒︽叜鐨勮兘鍔�銆傛毚闇插弽鎳�(y墨ng)闋�(y霉)闃插墖鏄畵鎮ｈ�呮毚闇插湪寮曡捣鐒︽叜鐨勬儏澧冧腑锛岄�愭几閬╂噳(y墨ng)骞舵笡灏戜笉蹇呰鐨勫挤(qi谩ng)杩鐐恒��
銆�銆�寮�(qi谩ng)杩櫏鏄竴绋父瑕�(ji脿n)鐨勭劍鎱殰绀欙紝浠ュ弽寰�(f霉)鍑虹従(xi脿n)鐨勫挤(qi谩ng)杩�濈董鍜�/鎴栧挤(qi谩ng)杩鐐虹偤鐗瑰緛銆傚叾鐥呭洜鍙兘鑸囬伜鍌炽�佺缍�(j墨ng)鐢熷寲銆佸績鐞嗙ぞ鏈�(hu矛)绛夊洜绱犳湁闂�(gu膩n)銆傚挤(qi谩ng)杩櫏鐨勬不鐧備富瑕佸寘鎷棩鐗╂不鐧傚拰蹇冪悊娌荤檪锛屽叾涓獚(r猫n)鐭ヨ鐐虹檪娉曞拰鏆撮湶鍙嶆噳(y墨ng)闋�(y霉)闃叉槸甯哥敤鐨勫績鐞嗘不鐧傛柟娉�銆傞�氶亷(gu貌)绌嶆サ鐨勬不鐧傦紝瑷卞鎮ｈ�呰兘澶犳湁鏁堝湴鎺у埗鐧ョ媭锛屾彁楂樼敓娲昏唱(zh矛)閲�銆�
銆�銆�寮�(qi谩ng)杩瀷浜烘牸闅滅鏄竴绋互閬�(gu貌)鍒嗚拷姹傚畬缇�銆佺З搴忋�佹帶鍒跺拰绱�(x矛)绡�(ji茅)鐐虹壒寰佺殑浜烘牸闅滅?锛涢鍜勵娋槎�?du矛)瑕�(gu墨)鍓囥�佹竻鍠拰瀹夋帓鏈夎憲妤甸珮鐨勮姹傦紝灏�(du矛)绱�(x矛)绡�(ji茅)閬�(gu貌)鍒嗛棞(gu膩n)娉�锛岄洠浠ラ仼鎳�(y墨ng)璁婂寲鍜屼笉纰哄畾鎬�銆傞�欑ó浜烘牸闅滅鑸囧挤(qi谩ng)杩櫏鏈夎憲鐩镐技鐨勭櫏鐙�锛屽閬�(gu貌)鍒嗘竻娼斻�佹鏌ャ�佺祫绻斿拰瑷�(j矛)鏁�(sh霉)绛夛紝浣嗗畠鍊戜箣闁撴湁钁楁湰璩�(zh矛)鐨勫崁(q奴)鍒ャ��
銆�銆�寮�(qi谩ng)杩瀷浜烘牸闅滅鑸囧挤(qi谩ng)杩櫏鐨勫崁(q奴)鍒ヤ富瑕佽〃鐝�(xi脿n)鍦ㄤ互涓嬪咕鍊�(g猫)鏂归潰锛�
銆�銆�1.鐥呭洜锛氬挤(qi谩ng)杩櫏鏄竴绋劍鎱殰绀欙紝鍏剁梾鍥犲彲鑳借垏閬哄偝銆佺缍�(j墨ng)鐢熷寲銆佸績鐞嗙ぞ鏈�(hu矛)绛夊洜绱犳湁闂�(gu膩n)銆傝�屽挤(qi谩ng)杩瀷浜烘牸闅滅鐨勭梾鍥犲皻涓嶅畬鍏ㄦ竻妤氾紝鐩墠瑾�(r猫n)鐐哄彲鑳借垏閬哄偝銆佸搴挵(hu谩n)澧�銆佹暀鑲叉柟寮忕瓑鍥犵礌鏈夐棞(gu膩n)銆�
銆�銆�2.鐧ョ媭锛氬挤(qi谩ng)杩櫏鐨勭櫏鐙�涓昏琛ㄧ従(xi脿n)鐐哄挤(qi谩ng)杩�濈董鍜屽挤(qi谩ng)杩鐐猴紝鎮ｈ�呰兘澶犺獚(r猫n)璀�(sh铆)鍒伴�欎簺鐧ョ媭鏄笉鍚堢悊鐨勶紝浣嗗嵒鐒�(w煤)娉曟帶鍒�銆傝�屽挤(qi谩ng)杩瀷浜烘牸闅滅鐨勭櫏鐙�涓昏琛ㄧ従(xi脿n)鐐洪亷(gu貌)鍒嗚拷姹傚畬缇�銆佺З搴�銆佹帶鍒跺拰绱�(x矛)绡�(ji茅)锛屾偅鑰呭線寰�瑾�(r猫n)鐐洪�欎簺琛岀偤鏄悎鐞嗙殑锛岀敋鑷冲彲鑳界偤姝ゆ劅鍒拌嚜璞��
銆�銆�3.娌荤檪锛氬挤(qi谩ng)杩櫏鐨勬不鐧備富瑕佸寘鎷棩鐗╂不鐧傚拰蹇冪悊娌荤檪锛屽叾涓獚(r猫n)鐭ヨ鐐虹檪娉曞拰鏆撮湶鍙嶆噳(y墨ng)闋�(y霉)闃叉槸甯哥敤鐨勫績鐞嗘不鐧傛柟娉�銆傝�屽挤(qi谩ng)杩瀷浜烘牸闅滅鐨勬不鐧備富瑕佷緷璩翠簬蹇冪悊娌荤檪锛屽瑾�(r猫n)鐭ヨ鐐虹檪娉�銆佺簿绁炲垎鏋愬拰浜洪殯娌荤檪绛�銆�
銆�銆�4.闋�(y霉)鍚庯細寮�(qi谩ng)杩櫏缍�(j墨ng)閬�(gu貌)绌嶆サ娌荤檪锛岃ū澶氭偅鑰呰兘澶犳湁鏁堝湴鎺у埗鐧ョ媭锛屾彁楂樼敓娲昏唱(zh矛)閲�銆傝�屽挤(qi谩ng)杩瀷浜烘牸闅滅鐨勬不鐧傛晥鏋滅浉灏�(du矛)杓冨樊锛屾偅鑰呭線寰�闇�瑕侀暦(zh菐ng)鏈熺殑蹇冪悊娌荤檪鍜屾敮鎸併��
銆�銆�寮�(qi谩ng)杩櫏鍜屽挤(qi谩ng)杩瀷浜烘牸闅滅闆栫劧鏈夎憲鐩镐技鐨勭櫏鐙�锛屼絾瀹冨�戜箣闁撴湁钁楁湰璩�(zh矛)鐨勫崁(q奴)鍒ャ�傚挤(qi谩ng)杩櫏鏄竴绋劍鎱殰绀�锛屼互鍙嶅京(f霉)鍑虹従(xi脿n)鐨勫挤(qi谩ng)杩�濈董鍜�/鎴栧挤(qi谩ng)杩鐐虹偤鐗瑰緛锛岃�屽挤(qi谩ng)杩瀷浜烘牸闅滅鏄竴绋汉鏍奸殰绀欙紝浠ラ亷(gu貌)鍒嗚拷姹傚畬缇�銆佺З搴忋�佹帶鍒跺拰绱�(x矛)绡�(ji茅)鐐虹壒寰�銆傚洜姝�锛屽挤(qi谩ng)杩櫏骞朵笉灞簬寮�(qi谩ng)杩瀷浜烘牸闅滅銆�
銆�銆�鍦栨枃鍏�(n猫i)瀹规暣鐞嗕締(l谩i)婧愮恫(w菐ng)绲�(lu貌)锛屽鏈変镜娆�(qu谩n)璜�(q菒ng)鑱�(li谩n)绯诲埅闄�銆傚鏋滄偍鏈夐棞(gu膩n)浜庛�愭垝閰掋�佹垝鐧�銆佹姂閮佺櫏銆佸け鐪犵櫏銆佸績鐞嗗挩瑭�銆佺劍鎱櫏銆佺簿绁為殰绀欍�佺簿绁炲垎瑁�銆佺缍�(j墨ng)琛板急銆佺缍�(j墨ng)瀹樿兘鐧�銆佹鐗╃缍�(j墨ng)绱婁簜銆佹亹鎳肩櫏銆佸挤(qi谩ng)杩櫏銆佽簛鐙傜櫏銆佽簛閮佺櫏銆侀洐鐩告儏鎰熼殰绀欍�佸績鐞嗛殰绀欍�佹儏绶掗殰绀�銆佺潯鐪犻殰绀�銆佺ぞ浜ら殰绀�銆佸鎯崇櫏銆佺檾鐧ャ�侀厭绮剧簿绁為殰绀�銆佸壍(chu脿ng)鍌锋�ф噳(y墨ng)婵�闅滅銆佽粈楂斿寲闅滅銆佹垝缍�(w菐ng)鐧�銆佺枒蹇冪梾銆佺缍�(j墨ng)琛板急銆佹亹鎳肩櫏銆佺櫜鐧�銆侀牠鏆堥牠鐥�銆佺湬鏆堟殘鍘ャ�佽�崇煶鐧�銆侀潰绁炵稉(j墨ng)鐥欐敚銆侀潰鐧�銆佺湬鏆堢櫏銆戠瓑鏂归潰鍟�(w猫n)椤屽彲浠ラ粸(di菐n)鎿婂湪绶氬厤璨�(f猫i)鍜ㄨ鎴栭爯(y霉)绱勬帥铏�(h脿o)銆�
