摘要
目的:研究酒依赖患者的精神依赖治疗中采用重复经颅磁刺激(rTMS)治疗效果。方法:选择2018年1月-2019年10月本院接收的80例精神依赖治疗的酒依赖患者。按照治疗方法差异性随机分为观察组(rTMS疗法)与对照组(伪rTMS疗法),各40例。比较两组的治疗效果。结果:治疗前,两组睡眠指标、症状评分及心理状态评分比较,差异均无统计学意义(P>0.05)。治疗后,观察组睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍评分均较对照组低,差异均有统计学意义(P<0.05)。治疗1个月后,观察组躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执和精神病性评分均较对照组低,差异均有统计学意义(P<0.05)。治疗后,观察组焦虑、抑郁评分均较对照组低,差异均有统计学意义(P<0.05)。观察组治疗总有效率为97.50%,高于对照组的85.00%,差异有统计学意义(P<0.05)。观察组复饮率为0,低于对照组的10.00%,差异有统计学意义(P<0.05)。结论:rTMS治疗酒依赖患者能提高整体疗效、稳定病情,值得借鉴。
Objective:To study the effect of repeated transcranial magnetic stimulation (rTMS) in the treatment on mental dependence in alcohol dependent patients.Method:A total of 80 alcohol dependent patients admitted to our hospital from January 2018 to October 2019 were selected.According to the difference in treatment methods,the patients were randomly divided into observation group (rTMS therapy) and control group (pseudo rTMS therapy),40 cases in each group.The therapeutic effects of the two groups were compared.Result:Before treatment,there were no statistically significant differences in sleep indicators,symptom scores and psychological status scores between the two groups (P>0.05).After treatment,the scores of sleep quality,sleeping time,sleeping time,sleep efficiency,sleep disorder,hypnotic drugs and daytime dysfunction in the observation group were all lower than those in the control group,the differences were statistically significant (P<0.05).After 1 month of treatment,the scores of somatization,obsessive symptoms,interpersonal sensitivity,depression,anxiety,hostility,terror,paranoia and psychosis in the observation group were lower than those in the control group,the differences were statistically significant (P<0.05).After treatment,the scores of anxiety and depression in the observation group were lower than those in the control group,the differences were statistically significant (P<0.05).The total effective rate in the observation group was 97.50%,higher than 85.00% in the control group,the difference was statistically significant (P<0.05).The rate of rehydration in the observation group was 0,lower than 10.00% in the control group,the difference was statistically significant (P<0.05).Conclusion:rTMS treatment of alcohol dependence patients can improve the overall efficacy and stabilize the disease,which is worthy of reference.
作者
许宝洁
吕雅琴
欧震杰
XU Baojie;LYU Yaqin;OU Zhenjie(The Third People’s Hospital of Panyu District,Guangzhou 511483,China)
出处
《中国医学创新》
CAS
2020年第28期34-39,共6页
Medical Innovation of China
基金
2018年度番禺区医疗卫生项目一般项目(2018-Z04-24)。
关键词
酒依赖
精神依赖
重复经颅磁刺激
心理状态
复发率
Alcohol dependence
Mental dependence
Repeated transcranial magnetic stimulation
Psychological state
Recurrence rate
