首页|帕罗西汀对颅脑损伤术后颅内感染患者负性情绪及认知功能的效果

帕罗西汀对颅脑损伤术后颅内感染患者负性情绪及认知功能的效果

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目的 研究帕罗西汀对颅脑损伤术后颅内感染伴焦虑抑郁患者情绪状态、认知功能及生活质量的影响.方法 选取本院神经外科2020年6月~2022年6月期间90例颅脑损伤术后颅内感染伴焦虑抑郁患者随机分组,对照组45例给予常规治疗,观察组45例联合帕罗西汀治疗,对比两组患者颅内感染指标、情绪状态、认知功能、生活质量和不良反应.结果 治疗后两组脑脊液白细胞、蛋白、葡萄糖水平比较,差异无统计学意义(P>0.05);观察组治疗后,汉密尔顿焦虑量表、汉密尔顿抑郁量表评分均低于对照组(P<0.05);观察组治疗后,神经功能缺损评分低于对照组,蒙特利尔认知功能评估量表评分高于对照组(P<0.05);观察组治疗后,认知功能、社会功能、心理功能、躯体功能评分均高于对照组(P<0.05);两组患者不良反应总发生率差异无统计学意义(P>0.05).结论 联合帕罗西汀治疗能够有效改善颅脑损伤术后颅内感染伴焦虑抑郁患者情绪状态,促进认知功能恢复,提高生活质量,安全性高.
Effect of paroxetine on improving mood and cognition in patients with intracranial infection and anxiety and depression after craniocerebral injury
Objective To study the effects of paroxetine on emotional state,cognitive function and quality of life in patients with intracranial infection and anxiety and depression after craniocerebral injury.Methods A total of 90 patients with intracranial infection accompanied by anxiety and depression after craniocerebral injury surgery in the Department of Neurosurgery of our hospital from June 2020 to June 2022 were randomly assigned,45 patients in the control group received conventional treatment,and 45 patients in the observation group received combined treatment with paroxetine.Indicators of intracranial infection,emotional state,cognitive function,quality of life and adverse reactions were compared between the two groups.Results There was no significant difference in the levels of leuko-cyte,protein and glucose in cerebrospinal fluid between the two groups after treatment(P>0.05).After treatment,the Hamilton Anxiety Scale and Hamilton Depression Scale scores in the observation group were lower than those in the control group(P<0.05).After treatment,the neurological deficit score in the observation group was lower than that in the control group,and the score on the Montreal Cognitive Function Assessment Scale was higher than that in the con-trol group(P<0.05).After treatment,the scores of material function,social function,psychological function,and physical function in the observation group were higher than those in the control group(P<0.05).There was no statis-tically significant difference in the total incidence of adverse reactions between the two groups of patients(P>0.05).Conclusion Combined treatment with paroxetine can effectively improve the emotional state of patients with intracra-nial infection and anxiety and depression after craniocerebral injury,promote the recovery of cognitive function,im-prove the quality of life,and have high safety.

Intracranial infectionParoxetineEmotional stateCognitive function

王鑫超、刘增强、巨涛、亓乾伟、岳新鹏、姚玲

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延安大学咸阳医院神经外科(咸阳,712000)

颅内感染 帕罗西汀 情绪状态 认知功能

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(3)
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