瑜伽放松训练联合文拉法辛对产后抑郁症患者的短期随访研究

Short-Term Follow-Up Study of Yoga Relaxation Training Combined with Venlafaxine in Patients with Postpartum Depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(2)
作者
作者单位

河南省濮阳市妇幼保健院 ;

摘要
研究瑜伽放松训练联合文拉法辛对产后抑郁症患者的短期随访效果。方法 选取我院收治的84例(2017年6月至2019年2月)产后抑郁症患者作为研究对象,简单随机化分为对照组(42例)、观察组(42例)。对照组采取文拉法辛治疗,观察组采取瑜伽放松训练+文拉法辛治疗。治疗6周后,比较两组治疗效果、治疗前后汉密尔顿抑郁(HAMD)、焦虑(HAMA)评分、睡眠障碍及不良反应发生情况。结果 观察组治疗效率95.24%(40/42)较对照组80.95%(34/42)(P<0.05);两组治疗2周、4周、6周后HAMD、HAMA评分较治疗前显著下降,且观察组低于对照组(P<0.05);治疗6周后,两组总睡眠时间、睡眠效率、睡眠潜伏期、睡眠期觉醒时间较治疗前显著改善,且观察组改善幅度大于对照组(P<0.05);观察组不良反应发生率7.14%(3/42)较对照组23.81%(10/42)低(P<0.05)。结论 瑜伽放松训练联合文拉法辛治疗产后抑郁症患者疗效显著,可明显缓解抑郁、焦虑情绪,改善睡眠障碍,还可显著减少药物不良反应,值得临床推广。
Abstract
Objective: To study the short-term follow-up effect of Yoga relaxation training combined with venlafaxine on postpartum depression. Methods: 84 patients with postpartum depression admitted to our hospital (from June 2017 to February 2019) were selected as the research object. They were randomly divided into control group (42 cases) and observation group (42 cases). The control group was treated with venlafaxine, while the observation group was treated with yoga relaxation training plus venlafaxine. After 6 weeks of treatment, the therapeutic effect, Hamilton depression (HAMD), anxiety (HAMA), sleep disorders and adverse reactions were compared between the two groups before and after treatment. Results: The treatment efficiency of the observation group was 95.24% (40/42) compared with 80.95% (34/42) of the control group (P < 0.05); the scores of HAMD and HAMA in the two groups decreased significantly after 2, 4 and 6 weeks of treatment, and the scores in the observation group were lower than those in the control group (P < 0.05); after 6 weeks of treatment, the total sleep time, sleep efficiency, sleep latency and sleep awakening time in the two groups were significantly improved, and the observation group was improved. The good range was greater than that of the control group (P < 0.05), and the incidence of adverse reactions in the observation group was 7.14% (3/42) lower than that in the control group 23.81% (10/42) (P < 0.05). Conclusion: Yoga relaxation training combined with venlafaxine is effective in the treatment of postpartum depression. It can significantly alleviate depression and anxiety, improve sleep disorders, and significantly reduce adverse drug reactions. It is worthy of clinical promotion.
关键词
产后抑郁症;文拉法辛;瑜伽放松训练;抑郁;焦虑;睡眠障碍
KeyWord
Postpartum Depression; Venlafaxine; Yoga Relaxation Training; Depression; Anxiety; Sleep Disorders
基金项目
页码 347-350
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高丽*. 瑜伽放松训练联合文拉法辛对产后抑郁症患者的短期随访研究 [J]. 国际精神病学杂志. 2020; 47; (2). 347 - 350.

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