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氟西汀联合重复经颅磁刺激对急性脑卒中后抑郁患者心理情绪及认知和神经功能的影响

The effect of fluoxetine combined with repetitive transcranial magnetic stimulation on the psychological emotions and cognitive and neurological functions of acute post-stroke depression patients.

作者信息

Yu Fangzhou, He Ru

机构信息

Department of Psychology, The People's Hospital of Liaoning Province Shenyang 110016, Liaoning Province, China.

出版信息

Am J Transl Res. 2021 Oct 15;13(10):11883-11889. eCollection 2021.

Abstract

OBJECTIVE

This research was designed to probe into the effects of fluoxetine combined with repetitive transcranial magnetic stimulation (rTMS) on the psychological emotions and the cognitive and neurological functions of acute post-stroke depression patients.

METHODS

This experiment recruited 115 acute post-stroke depression patients who were treated in our hospital from February 2018 to April 2020 as the study cohort. 55 of the patients were treated with fluoxetine, and 60 were treated with fluoxetine combined with rTMS. Both groups were treated for 2 months. The self-rating anxiety scale (SAS), the self-rating depression scale (SDS), the National Institutes of Health stroke scale (NIHSS), the mini mental state scale (MMSE), the Barthel index, and the quality of life scale (SF-36) scores were observed.

RESULTS

Compared with the control group (CG), the SAS, SDS, and NIHSS scores in the research group (RG) decreased, while the MMSE and Barthel index scores increased ( < 0.05). After the treatment, the SF-36 scores in the RG were higher than they were in the CG ( < 0.05).

CONCLUSION

Fluoxetine combined with rTMS can effectively improve the psychological emotions and the cognitive and neurological functions of acute post-stroke depression patients, so it is worthy of clinical promotion.

摘要

目的

本研究旨在探讨氟西汀联合重复经颅磁刺激(rTMS)对急性脑卒中后抑郁患者心理情绪及认知和神经功能的影响。

方法

本实验选取2018年2月至2020年4月在我院接受治疗的115例急性脑卒中后抑郁患者作为研究队列。其中55例患者接受氟西汀治疗,60例患者接受氟西汀联合rTMS治疗。两组均治疗2个月。观察两组患者的自评焦虑量表(SAS)、自评抑郁量表(SDS)、美国国立卫生研究院卒中量表(NIHSS)、简易精神状态量表(MMSE)、Barthel指数及生活质量量表(SF-36)评分。

结果

与对照组相比,研究组的SAS、SDS及NIHSS评分降低,而MMSE及Barthel指数评分升高(P<0.05)。治疗后,研究组的SF-36评分高于对照组(P<0.05)。

结论

氟西汀联合rTMS可有效改善急性脑卒中后抑郁患者的心理情绪及认知和神经功能,值得临床推广。

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