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高频重复经颅磁刺激辅助治疗脑卒中后抑郁症疗效观察

杨柳 刘玉山 史文宗 吴宁渤 齐曦明 刘兰祥

中国实用神经疾病杂志2018,Vol.21Issue(1):72-74,3.
中国实用神经疾病杂志2018,Vol.21Issue(1):72-74,3.DOI:10.12083/SYSJ.2018.01.018

高频重复经颅磁刺激辅助治疗脑卒中后抑郁症疗效观察

The curative effect of high-frequency transcranial magnetic stimulation in post-stroke depression

杨柳 1刘玉山 1史文宗 1吴宁渤 1齐曦明 1刘兰祥1

作者信息

  • 1. 秦皇岛市第一医院心理医学科 ,河北 秦皇岛 066000
  • 折叠

摘要

Abstract

Objective To investigate the curative effect of high-frequency transcranial magnetic stimulation (rTMS) on pa-tients with depression after stroke(PSD) .Methods One hundred and fourteen patients with PSD were randomly divided into com-bined treatment group (n=38 ,treated with Fluoxetine and 10 Hz high-frequency rTMS treatment) ,antidepressant group (n=38 , treated with Fluoxetine) and control group (n=38 ,treated by sham stimulation) .Three groups were treated by five times per week for a total of 8 weeks treatment .The Hamilton rating scale for depression (HAMD) was used to evaluate the cognitive con-dition of three groups before treatment and at 4th and 8th week after treatment .Results The HAMD scores among three groups had no significant differencs before treatment ;the HAMD score of combined treatment group and antidepressant group were lower than that of control group ,especially in the combined treatment group at 4th and 8th week after treatment ;the descend range of HAMD score in the combined treatment group was larger than that in the antidepressant group at 4th week after treatment .Con-clusion High-frequency rTMS is a safe and effective treatment for PSD .

关键词

重复经颅磁刺激/脑卒中后抑郁症/氟西汀/HAMD评分/假刺激

Key words

Repetitive transcranial magnetic stimulation/Post-stroke depression/Fluoxetine/Hamilton rating scale for de-pression/Sham stimulation

分类

医药卫生

引用本文复制引用

杨柳,刘玉山,史文宗,吴宁渤,齐曦明,刘兰祥..高频重复经颅磁刺激辅助治疗脑卒中后抑郁症疗效观察[J].中国实用神经疾病杂志,2018,21(1):72-74,3.

基金项目

2014年秦皇岛市市级科技计划项目(编号:201401A196) (编号:201401A196)

中国实用神经疾病杂志

OACSTPCD

1673-5110

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