重复经颅磁刺激联合心理护理治疗抑郁症的临床研究  

Clinical research on combination of repetitive transcranial magnetic stimulation with psychological nursing to treat depressive disorder

作　　者：郑蔚[1] 张海艳[1] 

机构地区：[1]空军杭州航空医学鉴定训练中心,310007

出　　处：《中国疗养医学》2013年第12期1066-1067,共2页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨重复经颅磁刺激联合心理护理治疗抑郁症的疗效。方法将焦虑症患者按随机分组法分为实验组(39例,重复经颅磁刺激结合心理护理组)和对照组(37例,重复经颅磁刺激组),观察4周,分别于治疗前及治疗第2、4周采用汉密顿抑郁量表(HAMD)评定两组临床疗效。结果实验组治疗第2、4周末HAMD评分均较治疗前显著下降(P<0.05或P<0.01),而对照组治疗第4周末差异有高度统计学意义(P<0.01);治疗第4周末两组间评分差异无统计学意义(P>0.05)。结论两组方法治疗抑郁症均有显著疗效,重复经颅磁刺激联合心理护理的效果优于单纯的重复经颅磁刺激治疗,可提高治疗依从性,明显缩短疗程。Objective To explore the clinical effect of repetitive transcranial magnetic stimulation combined with psychological nursing in the treatment of depressive disorder.Methods Sufferers with depression were divided randomly into treatment group（n =39,repetitive tran- scranial magnetic stimulation combined with psychological nursing） and control group（ n =37,repetitive transcranial magnetic stimulation）.Af- ter 4 weeks of treatment,clinical effects were evaluated with Hamilton Depression Rating Scale（HAMD） before treatment and after 2,4 weeks of treatment respectively.Results The HAMD scores of the treatment group after 2,4 weeks of treatment decreased significantly com- pared to those before the treatment（P＆lt;0.05 or P＆lt;0.01）,while there were significant differences in the control group after 4 weeks of treat- ment（P＆lt;0.01）.There were no significant statistical differences in the HAMD scores between the two groups after 4 weeks of treatment（P ＆gt; 0.05）.Conclusion Both methods have remarkable curative effects in the treatment of depressive disorder.Repetitive transcranial magnetic stimulation combined with psychological nursing has better effects than pure repetitive transcranial magnetic stimulation,which can shorten the course of treatment and enhance treatment compliance.

关 键 词：抑郁症 经颅磁刺激 心理护理 

分 类 号：R473.74[医药卫生—护理学]