不同强度体能训练联合氟西汀对北京地区焦虑症大学生干预效果评价

摘要

[Objective]To evaluate the effects of different intensity of physical training combined with fluoxetine on anxiety of college students in Beijing area ,and provide reference for the improvement of anxiety of college students .[Methods]Three hundred and twenty cases in Beijing area from February 2013 to February 2017 students diagnosed as anxiety were selected and randomly divided into high intensity group ,moderate intensity group ,low intensity group and the control group ,80 cases in each group .The subjects were given with fluoxetine treatment ;the high intensity group , the moderate intensity group and the low intensity group carried out the corresponding intensity of physical training ,3 times a week for 14 weeks .Before and after the intervention ,the self rating Anxiety Scale (SAS) ,manifest anxiety scale (MAS) and symptom Checklist-90 (SCL-90) changes in anxiety factor scores were compared within the groups .[Re-sults]4 weeks after intervention ,the scores of SAS ,MAS and SCL-90 anxiety factors in the high-intensity group ,the middle intensity group and the low intensity group were lower than those before intervention ,and the middle intensity group was the most obvious ,followed by the high-intensity group and the low intensity group ;14 weeks after the inter-vention ,SAS ,MAS and SCL-90 anxiety factor score of the control group was recovered to the level before the interven-tion ,SAS ,MAS and SCL-90 anxiety factor score of the other three groups were significantly decreased after 4-week in-terventionin;the middle intensity group decreased most obviously ,followed by the high intensity group and the low inten-sity group ,the difference was statistically significant ( P <00.5) .[Conclusion]On the basis of drug intervention ,physi-cal training combined with physical training can significantly improve anxiety among college students .Compared with high-intensity and low intensity physical training ,moderate intensity exercise prescription has better effect on improving anxiety level .%[目的]评价不同强度体能训练联合氟西汀(百忧解)对北京地区焦虑症大学生的干预效果,为该地区大学生焦虑状态的改善提供参考依据.[方法]选取北京地区2013年2月至2017年2月明确焦虑症诊断的320例大学生,按照随机数字表法分为高强度组、中强度组、低强度组及对照组各80例.受试者均给予百忧解治疗,高强度组、中强度组、低强度组患者按照组别开展对应强度的体能训练,每周3次,持续14周.比较各组患者干预前后焦虑自评量表(SAS)、显性焦虑量表(MAS)及症状自评量表(SCL-90)内焦虑因子评分变化.[结果]干预4周后,高强度组、中强度组、低强度组患者SAS、M AS及SCL-90焦虑因子评分均较干预前降低,中强度组降低最为明显,其次为高强度组、低强度组;干预14周后,对照组SAS、M AS及SCL-90焦虑因子评分恢复至干预前水平,其他三组患者SAS、M AS及SCL-90焦虑因子评分较干预4周后明显下降,中强度组降低最为明显,其次为高强度组、低强度组,差异有统计学意义(P<00.5).[结论]在药物干预的基础上,结合体能训练可以明显改善大学生焦虑情绪,相对于高强度、低强度体能训练而言,中强度运动处方在改善焦虑水平方面具有更为理想的效果.