Han Limin, Dong Lisha, Liu Huimin, Wang Huifang, Shi Ruolin, Hao Yajie
Department of Neurosurgery, Hebei Provincial Hospital of Traditional Chinese Medicine, Hebei, China.
Alpha Psychiatry. 2024 Aug 1;25(4):541-547. doi: 10.5152/alphapsychiatry.2024.231498. eCollection 2024 Aug.
To investigate whether the combination of repetitive transcranial magnetic stimulation (rTMS) and auricular point pressure bean could effectively ameliorate postoperative affective disorder in elderly patients suffering from cerebral hemorrhage.
From June 2020 to September 2023, 116 elderly patients with depression after cerebral hemorrhage, who underwent surgical procedures were divided into the exposure group and the control group. The division was determined based on whether received rTMS and traditional Chinese medicine auricular point pressure bean therapy. Hamilton anxiety scale (HAMA), Hamilton Depression scale (HAMD), National Institutes of Health Stroke scale (NIHSS), Montreal Cognitive Assessment scale (MoCA) and Mini Mental State examination scale (MMSE) were collected and compared between before intervention and after intervention.
In accordance with a 1 : 1 matching ratio, the patients in the study were paired using propensity score matching (PSM), with 53 patients in both the exposure group and the control group. There were no notable differences in baseline characteristics between the 2 groups ( > .05). Following the intervention, the HAMA score and the NIHSS score of the exposure group were markedly lower than those of the control group ( < .001). Additionally, theMoCA scores ( = .001) and MMSE scores ( < .001) in the exposure group were significantlyhigher. The difference score have a significant difference in HAMA score ( = .001), NIHSS score ( < .001), MoCA ( < .001) and MMSE scores ( < .001).
The combination of rTMS therapy and auricular point pressure bean therapy in traditional Chinese medicine demonstrates can effectively relieve the anxiety level, postoperative emotional and cognitive disorders of elderly patients after intracerebral hemorrhage, and provide certain ideas and support for clinical treatment.
探讨重复经颅磁刺激（rTMS）与耳穴压豆联合应用能否有效改善老年脑出血患者术后情感障碍。
选取2020年6月至2023年9月期间116例行手术治疗的老年脑出血后抑郁患者，根据是否接受rTMS及中医耳穴压豆治疗分为暴露组和对照组。收集干预前后的汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）、美国国立卫生研究院卒中量表（NIHSS）、蒙特利尔认知评估量表（MoCA）和简易精神状态检查表（MMSE）并进行比较。
按照1∶1匹配比例，采用倾向得分匹配法（PSM）对研究对象进行配对，暴露组和对照组各53例。两组基线特征比较，差异无统计学意义（>0.05）。干预后，暴露组HAMA评分和NIHSS评分明显低于对照组（<0.001）。此外，暴露组MoCA评分（=0.001）和MMSE评分（<0.001）明显更高。差值在HAMA评分（=0.001）、NIHSS评分（<0.001）、MoCA评分（<0.001）和MMSE评分（<0.001）方面差异有统计学意义。
rTMS治疗与中医耳穴压豆疗法联合应用可有效缓解老年脑出血患者术后焦虑水平、情绪及认知障碍，为临床治疗提供一定思路和支持。
