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重复经颅磁刺激联合度洛西汀治疗抑郁障碍的疗效及安全性分析

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目的 研究重复经颅磁刺激(rTMS)联合度洛西汀对抑郁障碍患者的疗效与安全性。方法 选取2022年5月至2023年5月呼伦贝尔市第三人民医院收治的100例抑郁障碍患者作为研究对象,采用计算机程序随机将其分为研究组(50例)和对照组(50例)。对照组采用盐酸度洛西汀肠溶胶囊进行治疗,在给予相同抗抑郁药物治疗的基础上,研究组添加rTMS治疗,比较两组的临床疗效、汉密尔顿抑郁量表(HAMD-17)评分及不良反应发生情况。结果 研究组的治疗总有效率高于对照组,差异有统计学意义(P<0。05);治疗2周后,研究组患者的HAMD-17评分低于对照组患者,差异有统计学意义(P<0。05);两组的不良反应发生率比较,差异无统计学意义(P>0。05)。结论 与单用抗抑郁药物相比,rTMS联合抗抑郁药物的疗效更好、安全性更高。
Efficacy and safety of repeated transcranial magnetic stimulation com-bined with Duloxetine in the treatment of depression
Objective To research the efficacy and safety of repetitive transcranial magnetic stimulation(rTMS)combined with Duloxetine in the treatment of depression.Methods A total of 100 patients with depression admitted to the Third Peo-ple's Hospital of Hulunbuir from May 2022 to May 2023 were selected as the research subjects.They were divided into ob-servation group and control group using computer program,with 50 patients in each group.The control group was treated with Duloxetine Hydrochloride Enteric-coated Capsules.On the basis of receiving the same antidepressant medication treatment,the observation group was added with rTMS treatment.The clinical efficacy,Hamilton depression scale(HAMD-17)and incidence of adverse reactions were compared between the two groups.Results The treatment effectiveness rate of the observation group was higher than that of the control group,with statistically significant difference(P<0.05).Af-ter two weeks of treatment,the HAMD-17 score of observation group patients was lower than that of the control group,with statistically significant difference(P<0.05).There was no statistically significant difference in the incidence of adverse re-actions between two groups(P>0.05).Conclusion Compared with antidepressants alone,rTMS combined with antidepres-sants was more effective and safer.

Major depressive disorderRepetitive transcranial magnetic stimulationDuloxetineEfficacySecurity

姜蕊琪

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内蒙古自治区呼伦贝尔市第三人民医院药剂科,内蒙古呼伦贝尔 022150

抑郁障碍 重复经颅磁刺激 度洛西汀 疗效 安全性

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(8)
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