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多轨道心理支持联合重复经颅磁刺激治疗双相情感障碍的临床效果

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目的:探讨多轨道心理支持联合重复经颅磁刺激(rTMS)治疗双相情感障碍(BD)的临床效果。方法:选取2022 年 5 月—2023 年 4 月重庆临江门医院收治的 90 例BD患者,以随机数表法分成对照组与研究组,各 45 例。对照组给予rTMS治疗,研究组给予多轨道心理支持联合rTMS治疗,比较两组临床疗效、症状严重程度、认知功能、生活质量。结果:研究组治疗总有效率为 91。11%,高于对照组的 73。33%,差异有统计学意义(P<0。05)。治疗后,两组贝克-拉范森躁狂量表(BMRS)评分、贝克抑郁量表(BDI-Ⅱ)评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0。05)。治疗后,两组正确次数、完成分类数高于治疗前,持续错误数、随机错误数低于治疗前,且研究组正确次数、完成分类数高于对照组,持续错误数、随机错误数低于对照组,差异有统计学意义(P<0。05)。治疗后,两组世界卫生组织生活质量量表(WHOQOL-100)评分高于治疗前,且研究组高于对照组,差异有统计学意义(P<0。05)。结论:BD患者给予多轨道心理支持联合rTMS治疗,能够提升临床疗效,缓解躁狂和抑郁症状,改善认知功能,提高生活质量。
Clinical Efficacy of Multi-track Psychological Support Combined with Repetitive Transcranial Magnetic Stimulation in the Treatment of Bipolar Disorder
Objective:To investigate the clinical effect of multi-track psychological support combined with repetitive transcranial magnetic stimulation(rTMS)in the treatment of bipolar disorder(BD).Method:A total of 90 BD patients admitted to Chongqing Linjiangmen Hospital from May 2022 to April 2023 were selected and divided into control group and study group by random number table method,with 45 cases in each group.The control group received rTMS treatment,and the study group received multi-track psychological support combined with rTMS treatment.The clinical efficacy,symptom severity,cognitive function and quality of life of the two groups were compared.Result:The total effective rate of the study group was 91.11%,which was higher than 73.33%of the control group,the difference was statistically significant(P<0.05).After treatment,the scores of Bech-Rafaelsen mania rating scale(BMRS)and Beck depression inventory(BDI-Ⅱ)in both groups were lower than those before treatment,and which in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the number of correct times and completed classification in the two groups were higher than those before treatment,the number of continuous errors and random errors were lower than those before treatment,and the number of correct times and completed classification in the study group were higher than those in the control group,and the number of continuous errors and random errors were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the World Health Organization quality of life scale(WHOQOL-100)score of the two groups was higher than that before treatment,and which in the study group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Multi-track psychological support combined with rTMS therapy for BD patients can improve clinical efficacy,alleviate manic and depressive symptoms,improve cognitive function and improve quality of life.

Bipolar disorderMulti-track psychological supportRepetitive transcranial magnetic stimulationCognitive function

皮静、吴亚男

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重庆临江门医院 重庆 404100

重庆市渝中区精神卫生中心

双相情感障碍 多轨道心理支持 重复经颅磁刺激 认知功能

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(10)
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