首页|运动疗法配合重复经颅磁刺激对抑郁症患者认知能力和社会功能的影响

运动疗法配合重复经颅磁刺激对抑郁症患者认知能力和社会功能的影响

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目的:观察探讨运动疗法配合重复经颅磁刺激(rTMS)对抑郁症患者认知能力、社会功能的影响.方法:前瞻性选取庆阳市第二人民医院 2022 年 1 月—2023 年 2 月接收的抑郁症患者 102 例,按随机数字表法分为对照组(n=51)、观察组(n=51).对照组进行rTMS治疗,观察组予以rTMS治疗配合运动疗法.对比两组总有效率、蒙特利尔认知评估量表(MoCA)评分、住院精神病人社会功能评定量表(SSPI)评分、威斯康星卡片分类测验(WCST)、不良反应.结果:观察组总有效率为 96.08%,较对照组的 78.43%更高,差异有统计学意义(P<0.05).治疗前,两组MoCA评分、SSPI评分、WCST比较,差异均无统计学意义(P>0.05);治疗后,两组MoCA、SSPI评分均升高,且观察组MoCA、SSPI评分均高于对照组,差异均有统计学意义(P<0.05).两组完成分类数、应答正确数均高于治疗前,且观察组均高于对照组,持续性错误数、应答错误数均少于治疗前,且观察组均少于对照组,差异均有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:抑郁症患者进行rTMS治疗的同时配合运动疗法,能够显著提高临床疗效,改善认知能力,增强社会功能、执行功能,且安全性良好.
Effects of Exercise Therapy Combined with Repeated Transcranial Magnetic Stimulation on Cognitive Ability and Social Function in Patients with Depressive Disorder
Objective:To observe and explore the effects of exercise therapy combined with repeated transcranial magnetic stimulation(rTMS)on cognitive ability and social function in patients with depressive disorder.Method:A total of 102 patients with depressive disorder admitted to Qingyang Second People's Hospital from January 2022 to February 2023 were prospectively selected and divided into control group(n=51)and observation group(n=51)according to random number table method.The control group was treated with rTMS,and the observation group was treated with rTMS combined with exercise therapy.The total response rate,Montreal cognitive assessment scale(MoCA)score,scale of social function in psychosis inpatients(SSPI)score,Wsiconsin card sorting test(WCST)and adverse reactions were compared between the two groups.Result:The total effective rate of the observation group was 96.08%,which was higher than 78.43%of the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in MoCA score,SSPI score and WCST between the two groups(P>0.05).After treatment,the scores of MoCA and SSPI in both groups increased,and the scores of MoCA and SSPI in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The categories completed and responses correct in both groups were higher than those before treatment,and those in the observation group were higher than those in the control group,responses perseverative errors and responses errors in both groups were lower than those before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Patients with depressive disorder treated with rTMS combined with exercise therapy can significantly improve clinical efficacy,cognitive ability,social function and executive function,and have good safety.

Exercise therapyRepeated transcranial magnetic stimulationDepressive disorderCognitive abilitySocial function

王宝红

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庆阳市第二人民医院精神心理科 甘肃 庆阳 745000

运动疗法 重复经颅磁刺激 抑郁症 认知能力 社会功能

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(10)
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