【摘要】

目的：探讨局限性前列腺癌患者采用心理疗法联合腹腔镜前列腺癌根治术治疗的临床效果。
方法：选择2017年1月-2019年1月期间我院收治的局限性前列腺癌患者60例为研究对象，随机分为两组，其中给予对照组腹腔镜前列腺癌根治术治疗，而观察组在此基础上，再运用心理疗法治疗，比较两组治疗效果。
结果：干预前，两组的SDS和SAS评分比较无差异（P>0.05）；干预后，观察组的SDS和SAS评分均低于对照组（P<0.05）；两组的术中出血量、住院以及手术时间比较无差异（P>0.05）；两组治疗前的IPSS评分无可比性（P>0.05）；与对照组比较，观察组的IPSS评分明显下降，组间对比差异显著（P<0.05）；与对照组相比，观察组的生存质量评分高，组间比较有明显差异（P<0.05）；同时，两组的护理满意度对比有统计意义（P<0.05）。
结论：临床上运用心理疗法和腹腔镜前列腺癌根治术对局限性前列腺癌患者进行治疗可以改善患者预后，值得推广。

【Abstract】

Objective: To explore the clinical effect of psychotherapy combined with laparoscopic radical prostatectomy for localized prostate cancer.
Methods: 60 patients with localized prostate cancer admitted to our hospital from January 2017 to January 2019 were randomly divided into two groups. The control group was treated with laparoscopic radical prostatectomy, and the observation group was treated with psychotherapy on this basis, which was better than the two groups.
Results: before the intervention, there was no difference in SDS and SAS scores between the two groups (P > 0.05); after the intervention, the SDS and SAS scores of the observation group were lower than those of the control group (P < 0.05); there was no difference in intraoperative blood loss, hospitalization and operation time between the two groups (P > 0.05); the IPSS scores of the two groups before the treatment were not comparable (P > 0.05); compared with the control group, the IPSS scores of the observation group were significantly lower, and between the groups There was significant difference between the two groups (P < 0.05); compared with the control group, the quality of life score of the observation group was higher, and there was significant difference between the two groups (P < 0.05); at the same time, there was statistical significance in the comparison of nursing satisfaction between the two groups (P < 0.05).
Conclusion  : the clinical application of psychotherapy and laparoscopic radical prostatectomy can improve the prognosis of patients with localized prostate cancer.