重复经颅磁刺激联合盐酸哌罗匹隆治疗精神分裂症患者疗效观察及对患者认知功能和生活质量影响

Repetitive transcranial magnetic stimulation combined with perospirone hydrochloride in the treatment of schizophrenia and its clinical effect on patients with cognitive function and quality of life

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

湖北省恩施州优抚医院 ;

摘要
探讨重复经颅磁刺激联合盐酸哌罗匹隆治疗精神分裂症患者疗效及对患者认知功能和生活质量影响。方法:选择2015年10月-2017年10月我院接受诊治的精神分裂症患者94例,按照随机表法分为观察组47例与对照组47例。对照组采用盐酸哌罗匹隆治疗,观察组在对照组基础上结合重复经颅磁刺激治疗。两组疗程均为4周。比较两组治疗疗效,治疗前后PANSS评分、LOCAT评分和生活质量评分变化。结果:观察组总有效率(89.36%)高于对照组(70.21%)(P<0.05)。两组治疗后PANSS评分降低(观察组:t=40.281,对照组:t=22.774,P<0.05);观察组治疗后PANSS评分低于对照组(t=21.739,P<0.05)。两组治疗后LOCAT评分降低(观察组:t=40.654,对照组:t=20.637,P<0.05);观察组治疗后LOCAT评分低于对照组(t=21.708,P<0.05)。两组治疗后动力和精力、心理社会、症状和不良反应评分降低(观察组:t=12.472、12.786、17.091,对照组:t=4.873、5.821、9.924,P<0.05);观察组治疗后动力和精力、心理社会、症状和不良反应评分低于对照组(t=8.455、5.946、5.447,P<0.05)。结论:重复经颅磁刺激联合盐酸哌罗匹隆治疗精神分裂症患者疗效显著,可明显改善患者认知功能和生活质量,具有重要研究意义。
Abstract
To investigate the effects of repetitive transcranial magnetic stimulation combined with perospirone hydrochloride in treatment of schizophrenic patients: and the influence on the function and quality of life in patients with cognitive. Methods: 94 schizophrenic patients were selected and treated in our hospital in December 2015 - December 2017. According to the random table method, 47 cases were divided into the observation group and the control group 47 cases. The control group using perospirone hydrochloride treatment, the observation group in the control group based on the combined treatment of repetitive transcranial magnetic stimulation. The two groups were treated for 4 weeks. The curative effect of the two groups was compared, and the changes of PANSS score, LOCAT score and quality of life score before and after the treatment were compared. Results: the total effective rate of the observation group (89.36%) was higher than that of the control group (70.21%) (P<0.05). The PANSS score of the two groups decreased after treatment (observation group: t=40.281, control group: t=22.774, P<0.05); the PANSS score in the observation group was lower than that in the control group (t=21.739, P<0.05). The LOCAT score of the two groups decreased after treatment (observation group: t=40.654, control group: t=20.637, P<0.05); the LOCAT score in the observation group was lower than that in the control group (t=21.708, P<0.05). Power and energy, social and psychological symptoms and adverse reactions were decreased in two groups after treatment (observation group: t=12.472, 12.786, 17.091, the control group: t=4.873, 5.821, 9.924, P<0.05); the observation group after the treatment of power and energy, social, psychological symptoms and adverse reactions were lower than control group (t=8.455, 5.946, 5.447, P<0.05). Conclusion: repetitive transcranial magnetic stimulation combined with perospirone hydrochloride in the treatment of schizophrenia patients with obvious curative effect, can significantly improve the cognitive function and quality of life of patients, has important research significance.
关键词
重复经颅磁刺激;盐酸哌罗匹隆;精神分裂症;疗效;认知功能;生活质量
KeyWord
repetitive transcranial magnetic stimulation; perospirone hydrochloride; schizophrenia; curative effect; cognitive function; quality of life
基金项目
页码 109-112
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张莉琳*. 重复经颅磁刺激联合盐酸哌罗匹隆治疗精神分裂症患者疗效观察及对患者认知功能和生活质量影响 [J]. 国际精神病学杂志. 2019; 46; (1). 109 - 112.

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