CAJ | 학술논문

目的：探讨重复经颅磁刺激联合心理护理治疗广泛性焦虑的疗效。方法将广泛性焦虑患者按随机分组法分为药物治疗、重复经颅磁刺激治疗结合心理护理组(实验组，33例)和药物治疗、重复经颅磁刺激治疗组(对照组，30例)，分别于重复经颅磁刺激治疗前及治疗结束时以及治疗结束后两周采用汉密顿焦虑量表( HAMA )评定两组临床疗效。结果实验组在重复经颅磁刺激治疗结束时和治疗结束后两周HAMA评分均较治疗前显著下降(P＜0.01)，而对照组仅在治疗结束后两周差异有高度统计学意义(P＜0.01)；治疗结束后两周两组间评分差异无统计学意义(P＞0.05)。结论两组方法治疗广泛性焦虑均有显著疗效，药物治疗、重复经颅磁刺激联合心理护理的效果优于单纯的药物治疗和重复经颅磁刺激治疗，可提高治疗依从性，明显缩短疗程。
목적：탐토중복경로자자격연합심리호리치료엄범성초필적료효。방법장엄범성초필환자안수궤분조법분위약물치료、중복경로자자격치료결합심리호리조(실험조，33례)화약물치료、중복경로자자격치료조(대조조，30례)，분별우중복경로자자격치료전급치료결속시이급치료결속후량주채용한밀돈초필량표( HAMA )평정량조림상료효。결과실험조재중복경로자자격치료결속시화치료결속후량주HAMA평분균교치료전현저하강(P＜0.01)，이대조조부재치료결속후량주차이유고도통계학의의(P＜0.01)；치료결속후량주량조간평분차이무통계학의의(P＞0.05)。결론량조방법치료엄범성초필균유현저료효，약물치료、중복경로자자격연합심리호리적효과우우단순적약물치료화중복경로자자격치료，가제고치료의종성，명현축단료정。
Objective To explore the clinical effect of repetitive transcranial m agnetic stim ulation com bined with m ental nursing in the treatm ent of generalized anxiety disorder.Methods The sufferers with generalized anxiety disorder were divided by random ized blocks into drug therapy and repetitive transcranial m agnetic stim ulation com bined with m ental nursing treatm ent group (n=33 )and drug therapy and repetitivetranscranialmagneticstimulationgroup(n=30).ClinicaleffectswereevaluatedwithHamiltonAnxietyRatingScale(HAMA)before the first rTM S treatm ent,at the end of treatm ent,and two weeks after the treatm ent.Results The HAMA scores of the experim ent group at the end of treatm ent,twoweeks after the treatm ent clearly got lowered than those before the treatm ent(P<0 .01 ),while there were signifi-cant differences in the control group only twoweeks after the treatm ent(P<0 .01 ).The differences in the HAMA scores of twogroups two weeks after the treatm ent were not of statistical significance (P>0 .05 ).Conclusion B oth therapies have rem arkable curative effects in the treatm ent of generalized anxiety disorder.D rug therapy and repetitive transcranial m agnetic stim ulation com bined with m ental nursing has bet-ter effects than drug therapy and repetitive transcranial m agnetic stim ulation,which can shorten treatm ent course and enhance com pliance.