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重复经颅磁刺激对强迫症患者药物治疗效果的影响

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目的 探讨针对强迫症患者,采用药物治疗联合重复经颅磁刺激的价值.方法 随机选取贵州省第二人民医院于2022年1月—2023年10月收治的80例强迫症患者为研究对象,利用随机数表法分为参照组(40例)与研究组(40例).参照组口服氟伏沙明治疗,研究组在参照组基础上进行重复经颅磁刺激治疗,治疗时间为4周.比较两组治疗2周、4周后的耶鲁-布朗强迫障碍量表(Yale-brown Compulsive Disorder Scale,Y-BOCS)评分和症状自评90项量表(Symptom Checklist-90,SCL-90)评分、不良反应发生率.结果 治疗2周及4周后,研究组Y-BOCS评分均低于参照组,差异有统计学意义(P均<0.05);研究组SCL-90各维度评分及总分均低于参照组,差异有统计学意义(P均<0.05);两组不良反应发生率对比,差异无统计学意义(P>0.05).结论 在氟伏沙明的基础上为强迫症患者进行重复经颅磁刺激治疗可进一步提高治疗效果,能够快速减轻其存在的强迫症状,对精神状态的改善有积极意义,且未增加不良反应发生风险,应用价值较高.
The Effect of Repetitive Transcranial Magnetic Stimulation on the Efficacy of Medication in Patients with Obsessive-compulsive Disorder
Objective To explore the value of combined repetitive transcranial magnetic stimulation for patients with obsessive-compulsive disorder treated with medication.Methods A total of 80 patients with obsessive-compulsive dis-order admitted to the Second People's Hospital of Guizhou Province from January 2022 to October 2023 were ran-domly selected as the research objects.They were divided into reference group(40 cases)and study group(40 cases)by random number table method.The reference group was treated with oral fluvoxamine,and the study group was treated with repetitive transcranial magnetic stimulation on this basis of the reference group.The treatment time was 4 weeks.The Yale-brown Compulsive Disorder Scale(Y-BOCS)score and Symptom Checklist-90(SCL-90)score and the adverse reactions incidence of were compared between the two groups after 2 weeks and 4 weeks of treat-ment.Results After 2 and 4 weeks of treatment,the Y-BOCS score of the study group was lower than that of the ref-erence group,and the differences were statistically significant(both P<0.05).The scores of each dimension and total score of SCL-90 in the study group were lower than those in the reference group,and the differences were statisti-cally significant(all P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Repeated transcranial magnetic stimulation on the basis of fluvoxamine for patients with obsessive-compulsive disorder can further improve the therapeutic effect,quickly reduce the presence of obsessive-compulsive symptoms,and have a positive significance on the improvement of mental state,and did not in-crease the risk of adverse reactions,the application value is high.

Obsessive-compulsive disorderRepetitive transcranial magnetic stimulationFluvoxamineObsessive-compulsive symptomsMental state

王云

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贵州省第二人民医院精神科,贵州贵阳 550004

强迫症 重复经颅磁刺激 氟伏沙明 强迫症状 精神状态

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(12)