阿戈美拉汀联合rTMS对首发抑郁症认知功能的影响

Effects of agomelatine combined with rTMS in treatment Cognitive function with first-episode depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(1)
作者
作者单位

宜昌市精神卫生中心 ;

摘要
探讨阿戈美拉汀联合rTMS治疗首发抑郁症的疗效及认知功能的影响。方法 将90例首发抑郁症患者用EpiCalc 2000随机分为两组各45例,在阿戈美拉汀治疗基础上,研究组给予rTMS治疗,对照组给予伪刺激治疗,分别于治疗第0、1、2、4周末采用汉密尔顿抑郁量表(HAMD-17)评定疗效、用韦氏智力测验(WAIS)中数字符号、数字广度、韦氏记忆量表(WMS)、威斯康星卡片分类测验(WCST)、连线测验(TMT)、词语流畅性测验(VFT)评定认知功能。结果 在治疗后第1、2、4周末研究组HAMD评分明显低于对照组;4周末研究组有效率高于对照组;4周末研究组WCST非持续错误数、VFT重复数较治疗前减少,对照组TMT-A提笔次数较治疗前减少。与对照组比较,研究组治疗后第4周末WCST持续错误数、TMT连线时间较少,VFT总数较高,以上均(P<0.05)。结论 rTMS联合阿戈美拉汀治疗首发抑郁症安全、快速、有效,并改善认知功能。
Abstract
Objective To investigate the effect of agomelatine combined with rTMS in the treatment of initial depression and its effect on the cognitive function of patients.Methods Totally 90 patients with first-episode depression with EpiCalc 2000 were randomly divided into two groups,45 cases in argonaut beauty treatment, on the basis of the team to give rTMS treatment, control group given false stimulation,respectively in the treatment of 0,1, 2, 4 weekend with HAMD-17 to assess efficacy,with WAIS digital symbol, digit span,WMS、WCST、TMT、VFTto evaluate the cognitive function.Results The HAMD scores were significantly lower than the control group in the first, second and fourth weekend after treatment.The study group was more effective than the control group in the weekend.The number of WCST non-persistent errors and VFT repetition were decreased before treatment, and the number of TMT-A in control group decreased before treatment.Compared with the control group,WCST continuous error number, TMT connection time were lower in the fourth weekend after treatment, and the total number of VFT was higher,all of the above (P<0.05).Conclusion rTMS combined with argomelatine can improve the effect of antidepressant effect, enhance anti-depression effect, and improve cognitive function.
关键词
阿戈美拉汀;rTMS;首发抑郁症;认知功能
KeyWord
Agomelatine;rTMS;First-episode depression;Cognitive function
基金项目
页码 78-80
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刘陈*. 阿戈美拉汀联合rTMS对首发抑郁症认知功能的影响 [J]. 国际精神病学杂志. 2019; 46; (1). 78 - 80.

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