阿戈美拉汀联合认知行为干预对脑卒中后抑郁患者的影响分析

Analysis of the effect of agomelatine combined with cognitive behavioral intervention on patients with post-stroke depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(4)
作者
作者单位

河北省荣军医院 康复科 ;

摘要
【摘要】目的:探讨在脑卒中后发生抑郁患者治疗中,采用阿戈美拉汀与认知行为干预联合治疗的价值。方法:在随机情况下选择2020年6月~2022年12月在我院经相关检查确诊为脑卒中后抑郁的70例患者,以住院号单双数分组后每组共计35例患者,其中对照组实施阿戈美拉汀治疗,观察组则在对照组基础上实施认知行为干预。记录治疗后脑卒中再发率,同时评估其心理状态、睡眠质量、认知水平。结果:观察组35例患者经药物与认知行为干预联合治疗后记录的3个月(0.00%)、6个月(5.71%)脑卒中再发率,较对照组降低(P<0.05);观察组记录的焦虑、抑郁评分及睡眠质量评分,较对照组降低(P<0.05);观察组记录的认知功能评分,较对照组升高(P<0.05)。结论:在脑卒中后抑郁治疗中,选择阿戈美拉汀联合认知行为干预可明显改善其焦虑及抑郁状态、睡眠质量,减轻疾病对其认知功能的影响。
Abstract
[Abstract] Objective: To explore the value of combined therapy of agomelatine and cognitive behavioral intervention in the treatment of patients with depression after stroke. Methods: 70 patients with post-stroke depression confirmed by relevant examinations in our hospital from June 2020 to December 22 were randomly selected, and 35 patients in each group were divided into single and double groups according to the hospitalization number. The control group was treated with argomepratine, and the observation group was treated with cognitive-behavioral intervention on the basis of the control group. The recurrence rate of stroke after treatment was recorded, and the psychological status, sleep quality and cognitive level were evaluated. Results: The recurrence rate of stroke recorded in 35 patients in the observation group at 3 months (0.00%) and 6 months (5.71%) after the combined treatment of drugs and cognitive behavioral intervention was lower than that in the control group (P<0.05); The scores of anxiety, depression and sleep quality recorded in the observation group were lower than those in the control group (P<0.05); The cognitive function score recorded in the observation group was higher than that in the control group (P<0.05). Conclusion: In the treatment of post-stroke depression, the combination of agomelatine and cognitive behavioral intervention can significantly improve their anxiety and depression, sleep quality, and reduce the impact of disease on their cognitive function.
关键词
关键词:阿戈美拉汀;认知行为干预;脑卒中;抑郁;心理状态
KeyWord
Keywords: Agomepratine; Cognitive behavior intervention; Stroke; Depression; mentality
基金项目
页码 789-792
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周胜男*. 阿戈美拉汀联合认知行为干预对脑卒中后抑郁患者的影响分析 [J]. 国际精神病学杂志. 2023; 50; (4). 789 - 792.

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