CAJ | 학술논문

目的：探讨重复经颅磁刺激对抑郁症患者家庭功能的影响。方法将166例抑郁症患者按照入院顺序随机编入对照组和研究组。对照组采用抑郁症常规治疗，研究组采用重复经颅磁刺激治疗。两组分别采用汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）、家庭功能评定量表（FAD）对抑郁症患者的症状改变和家庭功能变化进行评估。结果两组患者疗效差异无统计学意义（χ2＝1．98，P＞0．05）；对照组和研究组治疗前后组内比较，HAMD、HAMA评分差异均有统计学意义（P＜0．05）；第6周两组间FAD总分、问题解决、情感介入评分比较差异有统计学意义（t＝2．27、2．22、2．16，P＜0．05）。结论和单独使用文拉法辛组比较，重复经颅磁刺激可以有效改善抑郁症状及其家庭功能。
목적：탐토중복경로자자격대억욱증환자가정공능적영향。방법장166례억욱증환자안조입원순서수궤편입대조조화연구조。대조조채용억욱증상규치료，연구조채용중복경로자자격치료。량조분별채용한밀이돈억욱량표（HAMD）、한밀이돈초필량표（HAMA）、가정공능평정량표（FAD）대억욱증환자적증상개변화가정공능변화진행평고。결과량조환자료효차이무통계학의의（χ2＝1．98，P＞0．05）；대조조화연구조치료전후조내비교，HAMD、HAMA평분차이균유통계학의의（P＜0．05）；제6주량조간FAD총분、문제해결、정감개입평분비교차이유통계학의의（t＝2．27、2．22、2．16，P＜0．05）。결론화단독사용문랍법신조비교，중복경로자자격가이유효개선억욱증상급기가정공능。
Objective To study the influence of repetitive transcranial magnetic stimulation on the family function in patients with depression. Methods A total of 166 patients with depression were divided into study group and control group according to the set sequence. The study group were simulated by repetitive transcranial magnetic stimulation and the control group received routine cure. All patients were assessed by Hamilton depression scale (HAMD),Hamilton anxiety scale (HAMA),and family assessment table (FAD). Results There was no statistically difference in the clinical curative effect between the two groups(χ2 =1. 98,P>0. 05). The difference in HAMD,HAMA score was statistically significant between the 0th,6 th weeks of the two groups (P<0. 05). In the 6th weeks,the difference in FAD total score,problem solving,emotional involvement was statistically significant between the two groups (t=2. 27,2. 22,2. 16,P<0. 05). Con-clusion The repetitive transcranial magnetic stimulation can improve family function in patients with depression compared to the use of ven-lafaxine alone.