|
|
Application effect of transcranial magnetic stimulation combined with antipsychotics in vagrant psychosis |
LU Quan-en ZHENG Yuan-xin LIANG Zhi-guang JIANG Hai-jun LYU You-fen |
Department of Psychiatry, Huizhou Demobilized Veterans Hospital in Guangdong Province, Huizhou 516001, China |
|
|
Abstract Objective To analyze the application effect of transcranial magnetic stimulation combined with antipsychotics in vagrant psychosis. Methods A total of 114 vagrant psychosis patients admitted to our hospital from June 2018 to May 2019 were selected as the research objects.According to the method of random number table method, they were divided into the control group (57 cases) and the observation group (57 cases).The control group was treated with Olanzapine, and the observation group was treated with Olanzapine and transcranial magnetic stimulation.The clinical efficacy, positive and negative symptom scale (PANSS), Pittsburgh sleep quality scale (PSQI), personal and social function scale (PSP) and adverse reactions were compared between the two groups. Results The total effective rate of the observation group was 75.44%, which was higher than that of the control group (56.14%), the difference was statistically significant (P<0.05).There were no significant differences in PANSS score, PSQI score and PSP score between the two groups before treatment (P>0.05).The PANSS and PSQI scores of the observation group after treatment were (57.62±3.91) and (5.08±1.92) points, which were lower than those of the control group ([76.54±3.15]and [8.67±2.04]points),the differences were statistically significant (P <0.05).The PSP score of the observation group after treatment was(63.46±7.05) points, which was higher than that of the control group ([50.89±6.21]points), the difference was statistically significant (P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups (P>0.05). Conclusion The combination of transcranial magnetic stimulation and antipsychotic drugs is safe and effective in the treatment of vagrant psychosis, which is beneficial to relieving mental symptoms and sleep disorders, and can restore social functions.
|
|
|
|
|
[1] |
劳长娣,黄惠剑,元建鹏.流浪精神病人合并肺结核X 线影像学表现及防治策略[J].临床肺科杂志,2016,21(8):1505-1507.
|
[2] |
何丽婵,苏珊娜,谢灵玉,等.工作式管理对恢复期流浪精神病病人康复效果的影响[J].护理研究,2016,30(17):2146-2148.
|
[3] |
关恒永,李喜泼,潘艳芬,等.经颅磁刺激与精神分裂症认知障碍[J].精神医学杂志,2018,31(4):308-311.
|
[4] |
钱烈,赵志宏,李萍,等.流浪精神病人收治中的伦理困境分析与对策探讨[J].中国医学伦理学,2016,29(5):894-897.
|
[5] |
张义,阿地拉·阿吉,佟钙玉,等.米氮平联合rTMS 治疗伴睡眠障碍的老年焦虑症患者的临床疗效[J].国际精神病学杂志,2017,44(3):457-459.
|
[6] |
丁玲,肖开提·苏理旦.喹硫平或奥氮平联合丙戊酸钠缓释片治疗维族双相障碍精神病的疗效研究[J].药物评价研究,2017,40(5):696-699.
|
[7] |
吕贝,段海水,程伟,等.电休克治疗联合阿立哌唑、奥氮平治疗精神分裂症的效果评价[J].国际精神病学杂志,2017,44(2):34-37.
|
[8] |
乔昱婷,郭力,孙润珠,等.奥氮平联合重复经颅磁刺激或改良电休克治疗精神分裂症的疗效分析[J].现代生物医学进展,2017,17(7):1247-1250.
|
[9] |
薛晓静,何饶丽,李伟兴,等.非典型抗精神病药治疗痴呆精神行为症状安全性的系统评价[J].中华医学杂志,2018,98(25):2030-2036.
|
[10] |
刘旭恩,沈姣.不同重复经颅磁刺激模式对精神分裂症患者认知功能及精神症状的影响[J].精神医学杂志,2016,29(1):58-60.
|
[11] |
李朝晖,王江,蔡广超.高频重复经颅磁刺激治疗慢性精神分裂症阴性症状的疗效及安全性分析[J].河北医药,2017,39(15):2326-2328.
|
[12] |
刘新,侯前梅,赵晓琼,等.10 Hz 重复经颅磁刺激对轻中度阿尔茨海默病患者的精神行为症状及注意执行的疗效观察[J].川北医学院学报,2017,32(3):376-379.
|
[13] |
朱颀峰,吴振国,李新玲.重复经颅磁刺激治疗双相障碍躁狂发作的效果和安全性[J].广东医学,2016,37(24):3707-3709.
|
[14] |
申丽娟,何益群,肖伟霞,等.经颅磁刺激治疗抑郁症睡眠障碍120 例[J].神经损伤与功能重建,2018,13(6):52-53.
|
[15] |
黄堂辉,曾海英,袁俊兰,等.成都市流浪精神病患者现状分析[J].西南国防医药,2018,28(10):105-107.
|
|
|
|