首页|重复经颅磁刺激联合注意力训练治疗精神分裂症的临床疗效

重复经颅磁刺激联合注意力训练治疗精神分裂症的临床疗效

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目的 探讨重复经颅磁刺激联合注意力训练治疗精神分裂症的临床疗效.方法 将88例精神分裂症患者按照随机数字表法分为对照组和研究组,各 44 例.对照组患者采用利培酮联合重复经颅磁刺激治疗,研究组患者在对照组基础上给予注意力训练治疗,治疗 4 周.比较两组患者临床疗效、不良反应发生情况,比较治疗前后两组患者重复性成套神经心理状态测验(RBANS)评分、住院精神病患者社会功能评定量表(SSPI)评分及 5-羟色胺(5-HT)水平.结果 治疗后,研究组患者临床疗效总有效率高于对照组(P<0.05).治疗后,两组患者RBANS、SSPI评分较治疗前升高,且研究组高于对照组;5-HT水平较治疗前降低,且研究组低于对照组(P<0.01).两组患者不良反应总发生率比较,差异无统计学意义(P>0.05).结论 重复经颅磁刺激联合注意力训练治疗精神分裂症的临床疗效显著,可较好改善患者临床症状、社会功能及认知功能,且不良反应少,较为安全可靠.
Clinical effectiveness of repeated transcranial magnetic stimulation combined with attention training in the treatment of schizophrenia
Objective To explore the clinical effectiveness of repeated transcranial magnetic stimulation(rTMS)plus attention training in the treatment of schizophrenia.Methods Eighty-eight schizophrenics were divided into control and research group according to random number table method,with 44 ones in each.Controls were treated with risperidone+rTMS and research group was plus attention training on the basis of controls,for 4 weeks.Such indexes were compared between two groups as clinical effectiveness,the occurrence of adverse reactions,pre-and post-treatment scores on the Repeatable Battery for the Assessment of Neuropsychological Status(RBANS)and Scale of Social function in Psychosis Inpatients(SSPI),and 5-hydroxytryptamine(5-HT)levels.Results After treatment,the clinical total effective rate was higher in research than control group(P<0.05).After treatment,scores on the RBANS and SSPI in both groups elevated compared with pre-treatment and those were higher in research than control group;5-HT levels in both groups lowered compared with pre-treatment and that was lower in research than control group(P<0.01).Intergroup difference in the incidence of adverse reactions weren't statistically significant(P>0.05).Conclusion The combination of rTMS and attention training has a significant effect in the treatment of schizophrenia,can improve clinical symptoms,social function and cognitive function,has fewer adverse reactions,and is safe and reliable.

schizophreniarepeated transcranial magnetic stimulationattention trainingclinical effectiveness

毕雪飞、袁梅菊、胡文中

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471000(河南·洛阳)洛阳市第五人民医院

精神分裂症 重复经颅磁刺激 注意力训练 临床疗效

2025

临床心身疾病杂志
河南省精神病医院(新乡医学院第二附属医院)

临床心身疾病杂志

影响因子:1.01
ISSN:1672-187X
年,卷(期):2025.31(1)