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MECT联合西酞普兰对老年性抑郁患者认知功能的影响

Effect of MECT Combined with Citalopram on Cognitive Function for Elderly Patients with Depression
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摘要 目的:分析改良电痉挛治疗(MECT)联合西酞普兰对老年性抑郁患者认知功能的影响。方法:抽样选取2021年9月—2022年9月于龙岩市第三医院治疗的60例老年性抑郁患者,并根据治疗方法不同将其分为A组(29例)与B组(31例)。两组均采用西酞普兰进行基础治疗,B祖在此基础上联合MECT治疗。采用Loewenstein认知功能评定量表测评功能,采用汉密尔顿抑郁量表(HAMD)和韦氏记忆量表(WMS)进行评分。结果:A组总有效率(96.55%)高于B组(77.42%),差异有统计学意义(P<0.05)。A组治疗后各项认知功能评分、WMS评分均高于B组,HAMD评分低于B组,差异均有统计学意义(P<0.05)。结论:MECT联合西酞普兰干预老年性抑郁患者效果更佳,可提升总有效率,从而影响认知功能和记忆力,改善患者现状。 Objective: To analyze the effects of modified electroconvulsive therapy(MECT) combined with Citalopram on cognitive function for elderly patients with depression. Method: A total of 60 patients with depression who treated in the Third Hospital of Longyan City from September 2021 to September 2022 were selected by sampling, and the selection conditions should be over 60 years old, they were divided into group A(29 cases) and group B(31 cases) according to different treatment methods. Group A and group B were treated with Citalopram, and group B was treated with MECT on this basis. Finally, Loewenstein cognitive function scale was used to evaluate the function, and Hamilton depression scale(HAMD) and Wechsler memory scale(WMS) were used to score. Result: The total effective rate of group A(96.55%) was higher than that of group B(77.42%), and the difference was statistically significant(P<0.05). After treatment,the cognitive function scores and WMS scores of group A after treatment were higher than those of group B, and the HAMD score was lower than that of group B, and the differences were statistically significant(P<0.05). Conclusion: MECT combined with Citalopram has a better effect in the intervention of elderly patients with depression, can improve the total effective rate, thereby affect cognitive function and memory, and improve the status quo of patients.
作者 陈小芬 潘其郎 CHEN Xiaofen;PAN Qilang(The Third Hospital of Longyan City,Longyan 364000,China;不详)
机构地区 龙岩市第三医院
出处 《中外医学研究》 2023年第7期123-126,共4页 CHINESE AND FOREIGN MEDICAL RESEARCH
基金 福建省卫生健康委科技计划项目(2020-B301)。
关键词 老年 抑郁 西酞普兰 认知功能 Elderly Depression Citalopram Cognitive function
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