体外反搏联合药物治疗对抑郁发作的疗效研究初探
A pilot study on the effects of the enhanced external counterpulsation therapy combined with drug treatment for the patient with depression
投稿时间:2022-07-09  修订日期:2023-02-05
DOI:
中文关键词:  抑郁障碍、双相障碍抑郁发作  体外反搏  疗效  社会功能
英文关键词:Depressive disorder  Enhanced external counterpulsation therapy  Efficacy  Social function
基金项目:基金项目:湖南省科技创新计划项目(项目名称:抑郁症院外智能综合干预系统的研究与示范,项目编号:2021SK2029)
作者单位地址
渠婷婷 中南大学湘雅二医院 湖南省长沙市人民中路139号中南大学湘雅二医院精卫楼
吴蓝珊 湘潭市第五人民医院 
王润 中南大学湘雅二医院 
刘聪聪 郴州市第一人民医院 
袁钦湄 中南大学湘雅二医院 
杨峘 中南大学湘雅二医院 
李则宣 中南大学湘雅二医院 
曹玉萍* 中南大学湘雅二医院 湖南省长沙市人民中路139号中南大学湘雅二医院精卫楼
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中文摘要:
      目的 观察体外反搏(EECP)联合药物治疗抑郁发作患者的疗效,为抑郁发作的治疗提供更多思路与方法。方法 采用简单随机抽样法纳入2019年5月至2020年3月在某医院精神科住院、符合DSM-5抑郁障碍或双相情感障碍抑郁发作诊断标准的患者66例抑郁患者作为研究对象,按照随机数字表法分为研究组(36例)和对照组(30例),研究组接受药物治疗的同时联合EECP治疗,总治疗次数平均15次,对照组仅接受常规药物治疗。于治疗前后采用汉密尔顿抑郁量表24项版(HAMD-24)和席汉失能量表(SDS)评定抑郁症状和社会功能。结果 治疗后研究组及对照组的HAMD-24、SDS评分均低于治疗前,差异均有统计学意义(t=8.149、5.791、8.016、3.488,P均<0.01)。研究组EECP联合药物治疗后,HAMD-24评分低于对照组,差异无统计学意义(t=-1.556,P>0.05),而SDS评分低于对照组,差异具有统计学意义(t=-3.008,P<0.01)。研究组临床治疗总有效率(以HAMD 减分率评价)高于对照组(90.6% vs 63.3%),差异具有统计学意义(χ2=8.725,P<0.05)。结论 体外反搏联合药物治疗抑郁发作较单用药物治疗能更有效地改善患者的抑郁症状及社会功能。提示EECP有望作为抑郁发作患者的辅助物理疗法。
英文摘要:
      Objective To observe the effect of the enhanced external counterpulsation (EECP) combined with drug in the treatment for the patients with depressive episodes, and provide more ideas and methods for the treatment for the treatment of depressive episodes. Methods A total of 66 hospitalized patients who met the DSM-5 diagnostic criteria for depressive disorder or bipolar depressive episode in a hospital from May 2019 to March 2020 were enrolled by simple random sampling, and they were divided into two groups according to the random number table method. Study group(n=36)received the enhanced external counterpulsation therapy combined with drug treatment, with an average of 15 times of EECP therapy, while control group(n=30)received conventional drug treatment only. Then the efficacy and social function were assessed using Hamilton Depression Scale-24 item(HAMD-24)and Sheehan Disability Scale (SDS). Results Post-treatment HAMD-24 and SDS scores in both groups were lower than those before treatment(t=8.149, 5.791, 8.016, 3.488, P<0.01). After EECP combined with drug treatment, the HAMD-24 score was lower than the control group, and the difference was not statistically significant (t=-1.556, P> 0.05), while the SDS score of the study group was lower than that of the control group, with statistical significance(t=-3.008, P<0.05). The total effective rate (using reduction rate of HAMD total scores as evaluation) were more significant in the research group than those in the control group (90.6% vs 63.3%,χ2=8.725,P<0.05). Conclusions EECP therapy combined with drug can help to improve the the depressed symptoms and social function more effectively compared with drug treatment alone in the patient with depressive disorder. It suggested that EECP could be a new auxiliary physical therapy in patients with depressive episodes.
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