早期高压氧治疗对高血压脑出血后抑郁患者的影响分析

Analysis of the impact of early hyperbaric oxygen therapy on patients with depression after hypertensive intracerebral hemorrhage

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(5)
作者
作者单位

保定市第一中心医院 ;

摘要
【摘要】目的:探讨高血压脑出血后抑郁患者开展早期高压氧治疗对其抑郁程度及心理韧性的影响。方法:于2020年1月-2022年12月采集病例资料入档,对象为医收治的高血压脑出血后抑郁患者共计纳入120例,纳入对象基于“随机数字表法”1:1分组,划分为对照组(应用常规药物治疗)与观察组(予以常规药物+早期高压氧治疗),各组纳入60例;观察对比两组抑郁程度、心理韧性、神经功能缺损及肢体运动功能、单胺类神经递质水平。结果:与对照组相比,观察组治疗2周、4周的17项-汉密尔顿抑郁量表(HAMD-17)评分显著低(P<0.05);治疗后,两组心理弹性量表(CD-RISC)评分呈不同程度的升幅,且观察组升幅更大(P<0.05);干预后,两组Fugl-meyer运动功能量表(FMA)评分均升高,卒中量表(NIHSS)评分均下降,且观察组更优(P<0.05);治疗后,两组去甲肾上腺素(NE)、5-羟色胺(5-HT)、多巴胺(DA)水平均升高,且观察组更高(P<0.05)。结论:高血压脑出血后抑郁患者开展高压氧治疗,可有效调节单胺类神经递质水平,有效改善患者抑郁程度,同时改善神经功能及肢体功能,增强其心理韧性,取得良好预后
Abstract
[Abstract] Objective: To explore the effect of early hyperbaric oxygen therapy on the degree of depression and psychological resilience in patients with depression after hypertensive intracerebral hemorrhage. Method: Case data were collected and filed from January 2020 to December 2022. A total of 120 patients with depression after hypertensive intracerebral hemorrhage admitted to the hospital were included. The participants were divided into a control group (treated with conventional drugs) and an observation group (treated with conventional drugs and early hyperbaric oxygen) based on a 1:1 random number table method, with 60 patients included in each group; The depression degree, psychological resilience, neurological deficit, limb motor function and monoamine neurotransmitter level were observed and compared between the two groups. Result: Compared with the control group, the observation group had significantly lower scores on the 17 items Hamilton Depression Scale (HAMD-17) after 2 and 4 weeks of treatment (P<0.05); After treatment, the scores of the two groups on the Psychological Resilience Scale (CD-RISC) showed varying degrees of increase, and the increase was greater in the observation group (P<0.05); After intervention, the Fugl meyer motor function scale (FMA) scores of both groups increased, while the stroke scale (NIHSS) scores decreased, and the observation group was better (P<0.05); After treatment, the levels of norepinephrine (NE), 5-hydroxytryptamine (5-HT), and dopamine (DA) increased in both groups, and were even higher in the observation group (P<0.05). Conclusion: Hyperbaric oxygen therapy can effectively regulate the level of monoamine neurotransmitters, effectively improve the degree of depression in patients with depression after hypertensive intracerebral hemorrhage, improve neurological function and limb function, enhance their psychological resilience, and achieve a good prognosis
关键词
【关键词】高压氧;高血压;脑出血;抑郁;负性情绪
KeyWord
Keywords: hyperbaric oxygen; hypertension; Cerebral hemorrhage; Depression; Negative emotions
基金项目
页码 1075-1077
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鲁娜*. 早期高压氧治疗对高血压脑出血后抑郁患者的影响分析 [J]. 国际精神病学杂志. 2023; 50; (5). 1075 - 1077.

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