首页|正念减压疗法联合艾司西酞普兰对焦虑症患者心理状态及神经递质水平的影响

正念减压疗法联合艾司西酞普兰对焦虑症患者心理状态及神经递质水平的影响

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目的 探究正念减压疗法联合艾司西酞普兰对焦虑症患者心理状态及神经递质水平的影响。方法 按照随机数字表法将我院2021年1月至2023年1月收治的焦虑症患者86例分为2组,各43例。对照组口服艾司西酞普兰治疗,观察组在此基础上采用正念减压疗法治疗,2组均连续治疗3个月。对比2组患者临床疗效、心理状态、神经递质水平、睡眠质量及不良反应。结果 观察组临床总有效率高于对照组(P<0。05);观察组去甲肾上腺素(NE)水平高于对照组,5-羟色胺(5-HT)、多巴胺(DA)水平低于对照组(P<0。05);观察组治疗后汉密尔顿焦虑量表(HAMA)、焦虑自评量表(SAS)评分低于对照组(P<0。05);观察组治疗后睡眠质量评分低于对照组(P<0。05);2组不良反应对比,差异无统计学意义(P>0。05)。结论 正念减压疗法联合艾司西酞普兰治疗焦虑症患者效果显著,利于改善神经递质水平,减轻患者焦虑程度,提升患者睡眠质量。
Effect of mindfulness decompression therapy combined with escitalopram on the psychological status and neurotransmitter levels of anxiety patients
Objective To explore the effects of mindfulness decompression therapy combined with escitalopram on the psychological status and neurotransmitter levels of anxiety patients.Methods Eighty-six patients with anxiety disorder admitted to our hospital from January 2021 to January 2023 were divided into two groups using a random number table method,with 43 patients in each group.The control group was treated with oral escitalopram,while the observation group was treated with mindfulness decompression therapy on this basis.Both groups were treated continuously for 3 months.The clinical efficacy,psychological status,neurotransmitter levels,sleep quality,and adverse reactions between two groups of patients were compared.Results The total clinical effective rate of the observation group was higher than that of the control group(P<0.05).The level of norepinephrine(NE)in the observation group was higher than that in the control group,while the levels of serotonin(5-HT)and dopamine(DA)were lower than those in the control group(P<0.05).After treatment,the Hamilton Anxiety Scale(HAMA)and Self Rating Anxiety Scale(SAS)scores in the observation group were lower than those in the control group(P<0.05).The sleep quality score of the observation group after treatment was lower than that of the control group(P<0.05).The difference in adverse reactions between the two groups was not statistically significant(P>0.05).Conclusion The combination of mindfulness decompression therapy and escitalopram has a significant effect on the treatment of anxiety patients,which is beneficial for improving neurotransmitter levels,reducing anxiety levels,and improving sleep quality.

Anxiety disordersMindfulnessDecompressionAcecitalopramPsychological stateNeurotransmitters

刘瑞瑞

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457000 河南省濮阳市精神卫生中心临床心理科

焦虑症 正念 减压 艾司西酞普兰 心理状态 神经递质

2024

山西医药杂志
山西医药卫生传媒集团有限责任公司

山西医药杂志

影响因子:0.504
ISSN:0253-9926
年,卷(期):2024.53(13)