300例精神障碍患者脑深部电刺激治疗的临床效果分析

Analysis of clinical effect of deep brain stimulation in 300 patients with mental disorders

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(2)
作者
作者单位

宜昌市精神卫生中心精神科 ;
湖北省人民医院精神科 ;

摘要
【摘要】 探讨脑深部电刺激(Deep Brain Stimulation,DBS)治疗精神障碍疾病的临床效果。方法 收集我院2014年2月~2016年12月期间收治的300例帕金森病(Parkinson’s disease,PD)致精神抑郁障碍患者,入院后在患者和(或)家属知情下接受丘脑底核(subthalamic nucleus,STN)DBS(STN-DBS)治疗,术后随访6个月观察患者精神抑郁障碍改善情况。结果 本组患者均成功完成STN-DBS治疗和随访,术后3个月、6个月治疗有效率分别为63.67%(191/300)、75.00%(225/300),整体疗效满意,术后6个月治疗有效率高于术后3个月,差异具有统计学意义(P<0.05);术后HAMD评分较治疗前有显著降低,术后6个月HAMD评分低于术后3个月,差异均具有统计学意义(P<0.05);治疗及随访期间,无明显不良反应症状。结论 脑深部电刺激有助于改善精神障碍症状,疗效显著且安全性好,临床应用价值显著。
Abstract
[Abstract] Objective To investigate the clinical effect of Deep Brain Stimulation (DBS) on mental disorders. Methods 300 cases of Parkinsons disease in our hospital from February 2014 December ~2016 year period (Parkinson s disease, PD) induced depression disorder in patients after admission and (or) families informed under the subthalamic nucleus (subthalamic nucleus, STN) DBS (STN-DBS) treatment, after 6 months of follow-up observation of patients with mental the improvement of depressive disorder. Results all patients successfully completed treatment and follow up of STN-DBS, after 3 months, 6 months, the effective rate was 63.67% (191/300), 75% (225/300), the overall effect is satisfactory, 3 months after 6 months of treatment significantly higher after operation, the difference was statistically significant (P< 0.05); the postoperative HAMD scores were significantly lower than those before treatment, 6 months after surgery, HAMD score less than 3 months after the operation, the differences were statistically significant (P<0.05); treatment and follow-up period, no obvious adverse reactions. Conclusion deep brain stimulation is helpful to improve the symptoms of mental disorders. The curative effect is significant, the safety is good, and the clinical application value is remarkable.
关键词
【关键词】 帕金森病;精神抑郁障碍;脑深部电刺激;临床效果
KeyWord
[Keywords] Parkinson disease; mental depression; deep brain stimulation; clinical effect;
基金项目
页码 308-310
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蔡枫,姚雪阳,潘峰,汤世明*. 300例精神障碍患者脑深部电刺激治疗的临床效果分析 [J]. 国际精神病学杂志. 2018; 45; (2). 308 - 310.

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