摘要
目的探讨经颅微电流刺激对剖宫产术产妇产后抑郁评分的影响。方法选择2021年3—6月于徐州医科大学附属医院行选择性剖宫产术产妇120例,采用随机数字表法分为干预组与对照组,各60例。腰椎-硬膜外联合麻醉完成后,干预组行经颅微电流刺激20 min;对照组实施同等时间的假刺激。在产妇入手术室前(T0)、入手术室后(T1)、出手术室前(T2)及术后24 h(T3)进行爱丁堡产后抑郁量表评分。统计术后24 h(T3)行产妇疲劳量表、视觉模拟(VAS)量表、产后满意度量表评分及产后并发症发生率。结果两组术前基线水平与术中情况相比差异无统计学意义。与对照组相比,刺激前两组抑郁评分差异无统计学意义(P>0.05),刺激完成后干预组抑郁评分低于对照组[T2(8.58±3.70)分比(10.49±3.82)分,T3(7.27±4.05)分比(9.85±2.68)分,均P<0.05]。干预组术后VAS评分低于对照组[4(3.00,6.00)分比6(4.00,7.00)分,P<0.05],但术后疲劳评分、术后满意度评分及两组术后并发症发生率相比差异无统计学意义(P>0.05)。结论经颅微电流刺激对改善腰硬联合麻醉行剖宫产术产妇产后抑郁水平有积极作用。希望对产妇抑郁的治疗策略提供证据。
Objective To investigate the effect of transcranial microcurrent stimulation on postoperative depression scores in women undergoing cesarean section.Methods A total of 120 women who underwent selective cesarean section in the Affiliated Hospital of Xuzhou Medical University from March to June 2021 were selected and divided into the intervention and control groups using the random number table method,with 60 cases each.After the completion of combined lumbar-epidural anesthesia,transcranial microcurrent stimulation was performed for 20 min in the intervention group;sham stimulation was performed for the same duration in the control group.The Edinburgh Postnatal Depression Scale was scored before(T0),after(T1),before(T2)and 24 h(T3)after the operation.The Maternal Fatigue Scale,Visual Analog Scale(VAS)and Postpartum Satisfaction Scale and the incidence of postpartum complications were measured at 24 h postoperatively(T3).Results There was no statistically significant difference between the two groups in preoperative baseline levels with intraoperative conditions(P>0.05).Compared with the control group,the difference in depression scores between the two groups before stimulation was not statistically significant(P>0.05),and the depression scores in the intervention group after stimulation completion were lower than those in the control group[T2(8.58±3.70)scores vs.(10.49±3.82)scores and T3(7.27±4.05)scores vs.(9.85±2.68)scores,both P<0.05].The postoperative VAS scores were lower in the intervention group than in the control group[4(3.00,6.00)vs.6(4.00,7.00),P<0.05],but the differences in postoperative fatigue scores,postoperative satisfaction scores and the incidence of postoperative complications between the two groups were not statistically significant(P>0.05).Conclusion Transcranial microcurrent stimulation has a positive effect on improving postpartum depression levels in women undergoing cesarean section with combined lumbar and rigid anesthesia.It is hoped to provide evidence on the treatment strategy of m
作者
赵秋
胡小义
刘鹤
曹君利
ZHAO Qiu;HU Xiaoyi;LIU He;CAO Junli(Department of Anesthesia,Xuzhou Medical University,Xuzhou,Jiangsu 221004,China;Department of Anesthesia,Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu 221000,China;Jiangsu Key Laboratory of Anesthesiology,Xuzhou Medical University,Jiangsu Key Laboratory of Applied Technology of Anesthesia and Analgesia,Xuzhou Medical University,State Drug Administration Key Laboratory of Research and Evaluation of Anesthetic Psychotropic Drugs,Xuzhou,Jiangsu 221004,China;Department of Anesthesiology,Huzhou Hospital,Zhejiang University School of Medicine,Huzhou,Zhejiang 313003,China)
出处
《安徽医药》
CAS
2023年第2期259-264,共6页
Anhui Medical and Pharmaceutical Journal
基金
江苏省自然科学基金面上项目(BK20181145)。
关键词
抑郁症
产后
经颅直流电刺激
剖宫产术
无创脑刺激技术
经颅微电流刺激
前额叶皮层
Depression,postpartum
Transcranial direct current stimulation
Cesarean section
Noninvasive brain stimulation technique
Transcranial microcurrent stimulation
Prefrontal cortex
