低频重复经颅磁刺激治疗轻中度抑郁症伴睡眠障碍的效果研究OA
Study on the Effect of Low-frequency Repetitive Transcranial Magnetic Stimulation in the Treatment of Mild-to-moderate Depression with Sleep Disorders
目的:探讨低频重复经颅磁刺激疗法对轻中度抑郁症伴睡眠障碍患者的干预效果.方法:选取2023年6月至2024年12月德阳市人民医院收治的轻中度抑郁症伴睡眠障碍患者480例作为研究对象,按照随机数字表法分为对照组和观察组,每组240例.对照组遵医嘱进行药物治疗,并接受伪低频重复经颅磁刺激疗法;观察组在接受药物治疗的基础上,接受低频重复经颅磁刺激疗法,2组干预时间均为4周.采用匹兹堡睡眠质量指数(PSQI)、汉密尔顿抑郁量表(HAMD)比较2组患者干预前后睡眠质量与抑郁程度.结果:治疗4周后,观察组患者的PSQI总分及各维度评分、HAMD评分均显著低于对照组,差异有统计学意义(P<0.05).结论:低频重复经颅磁刺激疗法不仅能够改善轻中度抑郁症患者的睡眠障碍水平,而且对其抑郁情绪的缓解也具有较好的效果,值得在临床上进一步推广应用.
Objective:To explore the intervention effect of low-frequency repetitive transcranial magnetic stimulation(rTMS)in patients with mild-to-moderate depression accompanied by sleep disorders.Methods:A total of 480 patients with mild-to-moderate depression and sleep disorders admitted to Deyang People's Hospital from June 2023 to December 2024 were selected as the study subjects.They were divided into a control group and an observation group using a random number table method,with 240 cases in each group.The control group received medication as prescribed by the physician along with sham low-frequency rTMS.The obser-vation group received medication combined with low-frequency rTMS.Both groups underwent an intervention period of 4 weeks.The Pittsburgh Sleep Quality Index(PSQI)and the Hamilton Depression Rating Scale(HAMD)were used to compare sleep quality and depression severity between the two groups before and after the intervention.Results:After 4 weeks of treatment,the total PSQI score,all dimension scores,and the HAMD score in the observation group were significantly lower than those in the control group,with statistically significant differences between the two groups(P<0.05).Conclusion:Low-frequency repetitive transcranial magnetic stimulation not only improves sleep disorders in patients with mild-to-moderate depression but also effective-ly alleviates depressive symptoms,making it worthy of further clinical promotion and application.
陶莉;朱玲;刘洁;林巧;代金兰;顾静
德阳市人民医院,德阳,618000德阳市人民医院,德阳,618000德阳市人民医院,德阳,618000德阳市人民医院,德阳,618000德阳市人民医院,德阳,618000德阳市人民医院,德阳,618000
医药卫生
重复经颅磁刺激抑郁症状睡眠障碍睡眠质量抑郁
Repetitive transcranial magnetic stimulationDepressive symptomsSleep disordersSleep qualityDepression
《世界睡眠医学杂志》 2026 (1)
18-20,24,4
四川中医药协同发展研究中心项目(2024XT022)德阳市科技局项目(2023SZZ024,2023SZZ025).
评论