双侧丘脑底核脑深部电刺激对PD患者精神状态、认知功能及睡眠质量的影响机制探究
Study on the mechanism of deep brain stimulation of bilateral subthalamic nucleus on mental state, cognitive function and sleep quality in PD patients
ES评分 0
| DOI |
| 刊名 |
Journal of International Psychiatry
|
| 年,卷(期) |
2022, 49(3) |
| 作者 |
|
| 作者单位 |
河南大学第一附属医院神经外科 ;
|
| 摘要 |
【摘要】目的:双侧丘脑底核脑深部电刺激对帕金森病(PD)患者精神状态、认知功能及睡眠质量的影响机制。方法:选取我院2017年1月至2020年12月期间80例帕金森病患者作为研究对象,按照随机数字表法将其分为两组,对照组40例给予盐酸普拉克索治疗,观察组40例给予联合双侧丘脑底核脑深部电刺激治疗(STN-DBS),对比两组患者精神状态、认知功能、睡眠质量。结果:治疗后观察组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、夜间睡眠总质量、失眠、睡后精力恢复、日间嗜睡等评分低于对照组,蒙特利尔认知评估量表(MoCA)、简明精神状态量表(MMSE)评分高于对照组,(P<0.05)。结论:在盐酸普拉克索的基础上增加双侧丘脑底核脑深部电刺激术治疗可以有效改善患者的临床症状,通过改善患者的精神状态,促进认知功能以及睡眠质量的提高。
|
| Abstract |
【Abstract】Objective: The influence mechanism of bilateral deep brain electrical stimulation of the subthalamic nucleus on the mental state, cognitive function and sleep quality of patients with Parkinsons disease (PD). Methods: From January 2017 to December 2020 in our hospital, 80 patients with Parkinsons disease were selected as the research objects, and they were divided into two groups according to the random number table method. The control group was treated with pramipexole hydrochloride in 40 patients, and the observation group Forty patients were treated with bilateral deep brain stimulation therapy (STN-DBS) in the subthalamic nucleus. The mental state, cognitive function, and sleep quality of the two groups were compared. Results:After treatment, the Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), total quality of night sleep, insomnia, energy recovery after sleep, and daytime sleepiness in the observation group were lower than those in the control group. The Montreal Cognitive Assessment Scale (MoCA) ), the Concise Mental State Scale (MMSE) score was higher than that of the control group (P<0.05).Conclusion: On the basis of pramipexole hydrochloride, the treatment of bilateral deep brain stimulation of the subthalamic nucleus can effectively improve the patients clinical symptoms, and promote the improvement of cognitive function and sleep quality by improving the patients mental state.
|
| 关键词 |
【关键词】丘脑底核;帕金森病;精神状态;认知功能;盐酸普拉克
|
| KeyWord |
[Keywords] subthalamic nucleus; Parkinsons disease; mental state; cognitive function; Praquex hydrochloride
|
| 基金项目 |
|
| 页码 |
488-490 |
司昊天*.
双侧丘脑底核脑深部电刺激对PD患者精神状态、认知功能及睡眠质量的影响机制探究 [J].
国际精神病学杂志.
2022; 49; (3).
488 - 490.