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重复经颅磁刺激联合生物反馈疗法对精神分裂症患者认知功能及情绪的影响▲
Effects of repeated transcranial magnetic stimulation combined with biofeedback therapy on cognitive function and emotion in patients with schizophrenia

微创医学 页码:422-427

作者机构:江西省精神病院1 精神科,2 临床药学科,江西省南昌市 330029

基金信息:▲基金项目:江西省卫生健康委科技计划(202140096)

DOI:10.11864/j.issn.1673.2025.04.08

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目的 探究重复经颅磁刺激联合生物反馈疗法对精神分裂症患者认知功能及情绪的影响。方法 选取100例精神分裂症患者作为研究对象,随机分为研究组及对照组,每组50例。对照组采用口服布南色林片联合生物反馈疗法治疗,研究组在对照组基础上采用重复经颅磁刺激治疗,两组患者均治疗4周。治疗后,比较两组患者认知功能评分[简易智能精神状态检查量表(MMSE)与蒙特利尔认知评估量表(MoCA)]、阳性和阴性症状量表(PANSS)评分、临床疗效、情绪评分[汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)],以及治疗期间不良反应发生率。结果 治疗后,两组患者MMSE评分与MoCA评分高于治疗前,且研究组上述评分高于对照组(P<0.05);两组患者阳性症状、阴性症状、一般精神病理评分及PANSS总分低于治疗前,且研究组上述评分低于对照组(P<0.05);研究组的治疗总有效率高于对照组,且疗效优于对照组(P<0.05);治疗后,两组患者HAMA与HAMD评分低于治疗前,且研究组上述评分低于对照组(P<0.05);研究组不良反应发生率低于对照组(P<0.05)。结论 在口服布南色林片联合生物反馈疗法治疗基础上,联合应用重复经颅磁刺激治疗精神分裂症患者可提高患者认知功能,改善阴性及阳性症状及不良情绪,疗效较好。

Objective To investigate the effects of repeated transcranial magnetic stimulation combined with biofeedback therapy on cognitive function and emotion in patients with schizophrenia. Methods One hundred patients with schizophrenia were selected as research subjects and randomly divided into a study group and a control group, with 50 cases in each group. The control group received oral administration of blonanserin tablets combined with biofeedback therapy, while the study group received repetitive transcranial magnetic stimulation on the basis of the control group's treatment. Both groups of patients received treatment for 4 weeks. After treatment, the following parameters were compared between the two groups of patients: cognitive function scores (assessed by the Mini-Mental State Examination [MMSE] and Montreal Cognitive Assessment [MoCA]), Positive and Negative Syndrome Scale (PANSS) scores, clinical efficacy, emotional scores (assessed by the Hamilton Depression Scale [HAMD] and Hamilton Anxiety Scale [HAMA]), and the incidence of adverse reactions during treatment. Results After treatment, the MMSE scores and MoCA scores of patients in both groups were higher than those before treatment, and the aforementioned scores in the study group were higher than those in the control group (P<0.05). After treatment, the positive symptom scores, negative symptom scores, general psychopathology scores, and total PANSS scores of patients in both groups were lower than those before treatment, and the aforementioned scores in the study group were lower than those in the control group (P<0.05). The total effective rate of treatment in the study group was higher than that in the control group, and its therapeutic effect was superior to that of the control group (P<0.05). After treatment, the HAMA and HAMD scores of patients in both groups were lower than those before treatment, and the aforementioned scores in the study group were lower than those in the control group (P<0.05). Meanwhile, the incidence of adverse reactions in the study group was lower than that in the control group (P<0.05). Conclusion On the basis of treatment with oral blonanserin tablets combined with biofeedback therapy, the additional application of repetitive transcranial magnetic stimulation in the treatment of patients with schizophrenia can not only enhance patients' cognitive function, but also ameliorate both negative and positive symptoms as well as negative emotions, demonstrating favorable therapeutic effects.

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