临床心身疾病杂志
臨床心身疾病雜誌
림상심신질병잡지
JOURNAL OF CLINICAL PSYCHOSOMATIC DISEASES
2013年
5期
413-415
,共3页
脑卒中%重复经颅磁刺激%抑郁情绪%神经功能%汉密顿抑郁量表
腦卒中%重複經顱磁刺激%抑鬱情緒%神經功能%漢密頓抑鬱量錶
뇌졸중%중복경로자자격%억욱정서%신경공능%한밀돈억욱량표
Stroke%rTMS%depressive emotion%nervous function%HAMD
目的探讨重复经颅磁刺激治疗脑卒中后抑郁患者的临床疗效。方法将120例脑卒中后抑郁患者随机分为两组，每组60例，两组均接受神经内科常规治疗，研究组联合重复经颅磁刺激治疗，连续治疗1个月，观察6个月。治疗前后采用脑卒中患者临床神经功能缺损程度评分标准评定神经功能缺损状况，采用汉密顿抑郁量表评定抑郁状况。结果治疗1个月、6个月末，研究组汉密顿抑郁量表评分显著低于对照组（ u＝22．91、19．23，P＜0．01），神经功能恢复效果显著优于对照组（χ2＝6．99、6．92，P＜0．05）。结论重复经颅磁刺激治疗能显著改善脑卒中后抑郁患者的抑郁情绪，有利于神经功能的恢复。
目的探討重複經顱磁刺激治療腦卒中後抑鬱患者的臨床療效。方法將120例腦卒中後抑鬱患者隨機分為兩組，每組60例，兩組均接受神經內科常規治療，研究組聯閤重複經顱磁刺激治療，連續治療1箇月，觀察6箇月。治療前後採用腦卒中患者臨床神經功能缺損程度評分標準評定神經功能缺損狀況，採用漢密頓抑鬱量錶評定抑鬱狀況。結果治療1箇月、6箇月末，研究組漢密頓抑鬱量錶評分顯著低于對照組（ u＝22．91、19．23，P＜0．01），神經功能恢複效果顯著優于對照組（χ2＝6．99、6．92，P＜0．05）。結論重複經顱磁刺激治療能顯著改善腦卒中後抑鬱患者的抑鬱情緒，有利于神經功能的恢複。
목적탐토중복경로자자격치료뇌졸중후억욱환자적림상료효。방법장120례뇌졸중후억욱환자수궤분위량조，매조60례，량조균접수신경내과상규치료，연구조연합중복경로자자격치료，련속치료1개월，관찰6개월。치료전후채용뇌졸중환자림상신경공능결손정도평분표준평정신경공능결손상황，채용한밀돈억욱량표평정억욱상황。결과치료1개월、6개월말，연구조한밀돈억욱량표평분현저저우대조조（ u＝22．91、19．23，P＜0．01），신경공능회복효과현저우우대조조（χ2＝6．99、6．92，P＜0．05）。결론중복경로자자격치료능현저개선뇌졸중후억욱환자적억욱정서，유리우신경공능적회복。
Objective To Explore the efficacy of repetitive transcranial magnetic stimulation (rTMS) treatment in patients with post-stroke depression (PSD) .Methods A total of 120 PSD patients were randomly assigned to two groups of 60 ones each ,both groups received neuro-medical routine treatment ,research group was plus rTMS ,was continuously treated for 1 month and observed for 6 months .Neurologic impairments were assessed with the Clinical Neurologic Deficit Scale in Stroke Pa-tient (CNDSSP) and depressive conditions with the Hamilton Depression Scale (HAMD) before and after treatment .Results At the end of the 1st and 6th month ,the HAMD score was significantly lower (u=22 .91 ,19 .23 ,P<0 .01) and rehabilitation result of nervous function better (χ2 =6 .99 ,6 .92 ,P<0 .05) in research than control group .Conclusion The rTMS treatment could notably improve depressive emotion of PSD patient and is beneficial to recovery of nervous function .
