首页|重复经颅磁刺激联合奥氮平对精神分裂症患者精神症状及认知功能的影响

重复经颅磁刺激联合奥氮平对精神分裂症患者精神症状及认知功能的影响

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目的 探讨重复经颅磁刺激(rTMS)联合奥氮平对精神分裂症(SCH)患者精神症状及认知功能的影响.方法 选取该院2019年1月—2023年10月收治的70例SCH患者为研究对象,按随机数表法将其分为对照组与观察组,各35例.对照组采用奥氮平片治疗,观察组采用rTMS联合奥氮平治疗,两组均治疗8周.对比两组患者的精神症状、认知功能、社会功能.结果 治疗后,观察组阳性症状、阴性症状、一般精神病理、阴性与阳性症状量表总分分别为(16.18±2.24)分、(14.37±1.47)分、(26.26±2.82)分、(34.26±3.21)分,均低于对照组的(19.07±4.64)分、(18.05±2.16)分、(30.84±4.64)分、(39.19±3.52)分,组间差异有统计学意义(P<0.05).治疗后,观察组简易精神状态检查量表、蒙特利尔认知评估量表评分分别为(22.46±2.14)分、(22.35±1.46)分,均高于对照组的(19.47±1.21)分、(18.27±1.05)分,组间差异有统计意义(P<0.05).治疗后,观察组个人和社会功能量表评分为(65.92±7.23)分,高于对照组的(58.37±6.46)分,差异有统计学意义(P<0.05).结论 rTMS联合奥氮平能够有效改善SCH患者的精神状态,提高其认知功能及社会功能.
Effects of Repeated Transcranial Magnetic Stimulation Combined with Olanzapine on Psychiatric Symptoms and Cognitive Function in Patients with Schizophrenia
Objective To investigate the effects of repeated transcranial magnetic stimulation (rTMS) combined with olanzapine on psychiatric symptoms and cognitive function in patients with schizophrenia (SCH).Methods A total of 70 SCH patients admitted to the hospital from January 2019 to October 2023 were selected as the study objects, and were divided into a control group and an observation group according to random number table method, with 35 cases in each group.The control group was treated with olanzapine tablets, and the observation group was treated with rTMS combined with olanzapine.Both groups were treated for 8 weeks.The mental symptoms, cognitive function and social function of the two groups were compared.Results After treatment, the total scores of positive symptoms, negative symptoms, general psychopathology, positive and negative symptom scales in the observation group were (16.18±2.24) points, (14.37±1.47) points, (26.26±2.82) points and (34.26±3.21) points, respectively, which were lower than (19.07±4.64) points, (18.05±2.16) points, (30.84 ±4.64) points and (39.19 ±3.52) points in the control group, and the differences between the groups were statistically significant (P<0.05).After treatment, the scores of the Mini-Mental State Examination and the Montreal Cognitive Assessment in the observation group were (22.46±2.14) points and (22.35±1.46) points, respectively, which were higher than (19.47±1.21) points and (18.27±1.05) points in the control group, and the differences between the groups were statistically significant (P<0.05).After treatment, the score of personal and social performance scale in the observation group was (65.92±7.23) points, which was higher than (58.37 ±6.46) points in the control group, and the difference was statistically significant (P<0.05).Conclusion rTMS combined with olanzapine can effectively improve the mental state, cognitive function and social function of SCH patients.

SchizophreniaRepeated transcranial magnetic stimulationOlanzapineMental symptomsCognitive function

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高密市第二人民医院精神科,山东高密 261500

精神分裂症 重复经颅磁刺激 奥氮平 精神症状 认知功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(15)
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