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| CBT治疗以发作性腹痛为特征的转换障碍1例 |
| CBT treatment of Conversion disorder characterized by paroxysmal abdominal pain: a case report |
| 投稿时间：2020-06-27 修订日期：2021-02-27 |
| DOI： |
| 中文关键词: 发作性腹痛 转换障碍 认知行为治疗 |
| 英文关键词:Paroxysmal abdominal pain Conversion Disorder Cognitive behavioral therapy |
| 基金项目:国家自然科学基金项目（面上项目，重点项目，重大项目）, |
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| 中文摘要: |
| 本文探讨以发作性腹痛为特征的转换障碍的诊治要点、误诊原因及治疗方案。以躯体不适为主要症状的转换障碍在综合医院中易被误诊，且缺乏有效的对症治疗手段，造成患者身心痛苦及医疗资源浪费。回顾性分析1例以发作性腹痛为主要症状的转换障碍患者的发病原因、诊断过程、治疗方案及治疗效果。案例提示，转换障碍患者以躯体不适为主诉时，会影响早期正确诊断和治疗，临床医生需提高对转换障碍的诊断及鉴别诊断能力；认知行为治疗（CBT）对转换障碍的治疗及预防复发有效。 |
| 英文摘要: |
| The purpose of this paper is to explore the main points of diagnosis, treatment and misdiagnosis of conversion disorder characterized by paroxysmal abdominal pain. The conversion disorder with physical discomfort as the main symptom is easy to be misdiagnosed in general hospitals, and the lack of effective symptomatic treatment is the important reason for the pain of patients and the waste of medical resources. The etiology, diagnostic process, therapeutic regimen and therapeutic effect of a patient with conversion disorder with paroxysmal abdominal pain as the main symptom were analyzed retrospectively. The case suggests that when patients with conversion disorder complain of physical discomfort, it will affect the rate of early correct diagnosis and treatment, so it is necessary to strengthen the ability of clinicians in the diagnosis and differential diagnosis of conversion disorder. Cognitive behavioral therapy (CBT) is effective in the treatment of conversion symptoms and prevention of recurrence. |
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