TBS模式磁刺激联合意念及模仿行为训练对精神分裂症患者认知与社会功能的影响  

Effects of TBS Mode Magnetic Stimulation Combined with Ideation and Imitation Behavior Training on Cognitive and Social Function in Patients with Schizophrenia

作　　者：李楠楠 马贞 LI Nannan;MA Zhen(2nd Ward,Department of Psychiatry,Tai'an Psychiatric Hospital,Tai'an 271000,China;6th Ward,Department of Psychiatry,Tai'an Psychiatric Hospital,Tai'an 271000,China)

机构地区：[1]泰安市精神病医院精神科二病区,山东泰安271000 [2]泰安市精神病医院精神科六病区,山东泰安271000

出　　处：《反射疗法与康复医学》2024年第15期33-36,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨θ短阵快速脉冲(TBS)模式磁刺激联合意念及模仿行为训练对精神分裂症患者认知与社会功能的影响。方法选择泰安市精神病医院2022年9月—2023年9月收治的100例精神分裂症患者为研究对象,按随机数字表法将其分为对照组及观察组,每组50例。对照组采用常规干预,观察组采用TBS模式磁刺激联合意念及模仿行为训练干预。比较两组患者的认知功能、社会功能及精神症状。结果干预后,观察组的简易精神状态量表评分、蒙特利尔认知评估量表评分均高于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组的社会功能评定量表中日常生活能力、动性和交往情况、社会性活动技能评分均高于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组的阳性和阴性精神症状评定量表中阳性症状、阴性症状、一般病理症状评分及总评分分别为(16.82±2.28)分、(16.34±2.21)分、(37.82±3.26)分、(70.98±4.25)分,均低于对照组的(20.14±2.67)分、(19.82±2.58)分、(42.15±3.34)分、(82.11±4.89)分,组间差异有统计学意义(P<0.05)。结论TBS模式磁刺激联合意念及模仿行为训练干预可改善精神分裂症患者的精神症状,提高其社会功能及认知功能,值得临床推广使用。Objective To explore the effects ofθburst stimulation(TBS)mode magnetic stimulation combined with ideation and imitation behavior training on cognitive and social function in patients with schizophrenia.Methods A total of 100 patients with schizophrenia admitted to Tai'an Psychiatric Hospital from September 2022 to September 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 50 cases in each group.The control group was treated with conventional intervention,and the observation group was treated with TBS mode magnetic stimulation combined with ideation and imitation behavior training.The cognitive function,social function and mental symptoms were compared between the two groups.Results After intervention,the scores of the Mini-Mental State Examination and the Montreal Cognitive Assessment in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of daily living ability,mobility and communication status,and social activity skills in the Scale of Social Function in Psychosis Inpatients of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the positive symptoms,negative symptoms,general pathological symptoms scores and total score in the positive and negative syndrome scale of the observation group were(16.82±2.28)points,(16.34±2.21)points,(37.82±3.26)points,(70.98±4.25)points,respectively,which were lower than(20.14±2.67)points,(19.82±2.58)points,(42.15±3.34)points and(82.11±4.89)points in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion TBS mode magnetic stimulation combined with ideation and imitation behavior training can improve mental symptoms and social and cognitive functions of schizophrenia patients,which is worthy o

关 键 词：精神分裂症 TBS模式磁刺激 意念 模仿行为 

分 类 号：R749.3[医药卫生—神经病学与精神病学]