首页|脑电刺激联合奥氮平对精神分裂症患者的临床疗效、精神状态、神经功能、认知功能的影响

脑电刺激联合奥氮平对精神分裂症患者的临床疗效、精神状态、神经功能、认知功能的影响

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目的:探讨脑电刺激联合奥氮平治疗精神分裂症患者的临床疗效及对患者精神状态、神经功能、认知功能的影响.方法:选取柘城县人民医院 2020 年 6 月至 2023 年 6 月收治的 96 例精神分裂症患者,随机分为药物组和脑电刺激联合组,各 48 例.药物组予以奥氮平(口服,5 mg·次-1,2 次·d-1)治疗,脑电刺激联合组予以脑电刺激(30 min·次-1,1 次·d-1)联合奥氮平治疗.治疗 2 m后,比较两组临床疗效,采用放射免疫法检测神经功能指标脑源性神经营养因子(Brain-derived neurotrophic factor,BDNF)、神经生长因子(Nerve growth factor,NGF),采用酶联免疫吸附法检测免疫功能指标免疫球蛋白A(Immunoglobulin A,IgA)、免疫球蛋白G(Immunoglobulin G,IgG)、白细胞介素-6(Interleukin-6,IL-6)、白细胞介素-1β(Interleukin-1β,IL-1β),采用阳性与阴性症状量表(Positive and negative syndrome scale,PANSS)评估患者的精神状态,采用认知功能评定量表(Loewenstein occupational therapy cognitive assessment,LOTCA)评估患者的认知功能.结果:治疗后,脑电刺激联合组总有效率(91.67%)高于药物组(75.00%)(P<0.05);治疗后,脑电刺激联合组血清 BDNF、NGF 高于药物组,IgA、IgG、IL-6、IL-1β水平低于药物组(P<0.05);治疗后,脑电刺激联合组PANSS评分低于药物组,LOTCA评分高于药物组(P<0.05).结论:脑电刺激联合奥氮平治疗精神分裂症可有效改善神经功能、精神状态,纠正免疫功能紊乱,提高认知功能,进而提升患者的临床疗效.
Effects of brain electricity stimulation combined with olanzapine on clinical efficacy,mental state,neurological function,and cognitive function of patients with schizophrenia
Objective:To investigate the clinical efficacy of brain electricity stimulation combined with olanzapine in treating schizophrenia patients and its effects on mental state,neurological function,and cognitive function.Methods:All 96 patients with schizophrenia admitted to The People's Hospital of Zhecheng from June 2020 to June 2023 were selected and randomly divided into the drug group and the brain electricity stimulation combined group with 48 cases in each group.The drug group was treated with olanzapine orally(5 mg,Bid),and the brain electricity stimulation combined group was treated with brain electricity stimulation(30 min,Qd)combined with olanzapine.After 2 months of treatment,the clinical efficacy was compared between the two groups.Neural function indexes such as brain-derived neurotrophic factor(BDNF)and nerve growth factor(NGF)were detected by radioimmunoassay.Immunoglobulin A(IgA),immunoglobulin G(IgG),interleukin-6(IL-6),and interleukin-1β(IL-1β)were detected by enzyme-linked immunosorbent assay,and the mental state was evaluated by positive and negative syndrome scale(PANSS),the cognitive function was evaluated by loewenstein occupational therapy cognitive assessment(LOTCA).Results:After treatment,the total effective rate of brain electricity stimulation combined group(91.67%)was higher than that of the drug group(75.00%)(P<0.05).After treatment,the levels of BDNF and NGF in the brain electricity stimulation combined group were higher than those in the drug group,and the levels of IgA,IgG,IL-6,and IL-11β were lower than those in the drug group(P<0.05).After treatment,the PANSS score in the brain electricity stimulation combined group was lower than that in the drug group,and the LOTCA score was higher than that in the drug group(P<0.05).Conclusion:Brain electricity stimulation combined with olanzapine in treating schizophrenia can effectively improve nerve function and mental state,correct immune dysfunction,improve cognitive function and thus enhance the clinical efficacy of patients.

SchizophreniaBrain electricity stimulationOlanzapineClinical effectNeural function

杜全军、杜茜茜、王宁

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柘城县人民医院精神科,河南 商丘 476200

商丘市中医院康复科,河南 商丘 476000

精神分裂症 脑电刺激 奥氮平 临床疗效 神经功能

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(6)