肌肉松弛疗法对抑郁症患者无抽搐电休克治疗后疼痛的影响  

Effect of muscle relaxation therapy on post-treatment pain of patients with depression non-convulsive electric shock

作　　者：游辉芳 陈文英[1] 旷燕珍[1] YOU Hui-fang;CHEN Wen-ying;KUANG Yan-zhen(Department of Psychiatry,the Third People′s Hospital of Ji′an City,Jiangxi Province,Ji′an 343000,China)

机构地区：[1]江西省吉安市第三人民医院精神科,江西吉安343000

出　　处：《中国当代医药》2020年第15期66-69,共4页China Modern Medicine

基　　金：江西省吉安市指导性科技计划项目(吉安市科计字[2019]8号101)。

摘　　要：目的分析肌肉松弛疗法对抑郁症患者无抽搐电休克(MECT)治疗后疼痛的影响。方法选取2017年1月~2019年1月我院收治60例应用MECT治疗的抑郁症患者作为研究对象,按照随机数字表法将患者分为对照组与治疗组,每组各30例。对照组患者给予常规护理,治疗组患者联合肌肉松弛疗法。比较两组患者的视觉模拟量表(VAS)评分、汉密顿抑郁量表(HAMD)评分、匹兹堡睡眠质量指数(PSQI)评分、护理总满意度。结果两组患者干预前的VAS、HAMD、PSQI评分比较,差异无统计学意义(P>0.05);两组患者干预后的VAS、HAMD、PSQI评分低于本组干预前,差异有统计学意义(P<0.05);治疗组患者干预后1、6、12、24 h的VAS评分低于对照组,差异有统计学意义(P<0.05);治疗组患者干预后的HAMD、PSQI评分均低于对照组,差异有统计学意义(P<0.05)。治疗组患者的护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论抑郁症患者进行MECT治疗后进行肌肉松弛疗法,可有效改善患者的术后疼痛、抑郁、睡眠质量,可提高临床治疗效果,值得在临床中推广应用。Objective To analyze the effect of muscle relaxation therapy on the post-treatment of non-convulsive electric shock(MECT)in patients with depression.Methods From January 2017 to January 2019,60 patients with depression treated with MECT in our hospital were selected as subjects,and the patients were divided into the control group and the treatment group according to the random digital method,30 cases in each group.Patients in the control group were given routine nursing,and patients in the treatment group combined with the muscle relaxation therapy.The visual analogue scale(VAS)scores,Hamilton depression scale(HAMD)scores,Pittsburgh sleep quality index(PSQI)scores,and total nursing satisfaction were compared between the two groups.Results There were no significant differences in VAS,HAMD and PSQI scores between the two groups before intervention(P>0.05).The VAS,HAMD and PSQI scores of the two groups after intervention were lower than those before intervention,and the differences were statistically significant(P<0.05).The VAS scores at 1,6,12 and 24 h after intervention in the treatment group were lower than those in the control group,with statistically significant differences(P<0.05).After intervention,HAMD and PSQI scores of patients in the treatment group were lower than those in the control group,with statistically significant differences(P<0.05).The total nursing satisfaction of patients in the treatment group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Muscle relaxation therapy after MECT treatment can effectively improve postoperative pain,depression and sleep quality of patients with depression,and improve the clinical treatment effect,which is worth promoting in the clinical application.

关 键 词：肌肉松弛疗法 抑郁症 无抽搐电休克 视觉模拟量表 汉密顿抑郁量表 匹兹堡睡眠质量指数 

分 类 号：R473.74[医药卫生—护理学]