重复经颅磁刺激对产后抑郁患者泌乳量影响临床分析.docVIP

重复经颅磁刺激对产后抑郁患者泌乳量影响临床分析 　　[摘要] 目的 探讨重复经颅磁刺激对产后抑郁患者泌乳量的影响。 方法 选取2016年1～12月在我院分娩的68例患有产后抑郁的产妇作为研究对象，随机分为观察组（n=34）和对照组（n=34）。在常规抗抑郁药治疗基础上观察组使用重复高频经颅磁刺激，对照组使用不引起大脑皮层神经细胞去极化的伪线圈进行刺激。刺激部位：左侧前额叶背外侧区。比较两组治疗后的疗效及泌乳量。 结果 观察组患者治疗后总有效率（97.1%）显著高于对照组（73.5%），差异有统计学意义（χ2=5.7448，P=0.0165）；观察组较对照组能够显著改善兴趣缺乏及睡眠情况，而对消极情绪、负罪感、焦虑没有明显的改善作用。治疗后观察组患者泌乳量显著多于对照组，差异有统计学意义（P0.05）。 结论 重复经颅磁刺激治疗产后抑郁症疗效确切，显著增加患者泌乳量，有利于母婴身心健康。 　　[关键词] 产后抑郁；泌乳量；重复经颅磁刺激；大脑皮层；情绪；身心健康 　　[中图分类号] R749.4 [文献标识码] B [文章编号] 1673-9701（2018）07-0046-03 　　[Abstract] Objective To analyze the effect of repeated transcranial magnetic stimulation on the amount of milk in patients with postpartum depression. Methods A total of 68 pregnant women with postpartum depression who were delivered in our hospital from January to December of 2016 were randomly divided into observation group （n=34） and control group（n=34）. On the basis of conventional antidepressant treatment， the observation group was subjected to repetitive high-frequency transcranial magnetic stimulation while the control group was stimulated with a pseudo-coil that did not cause depolarization of cerebral cortical neurons. Stimulation site： left frontal dorsolateral region. The curative effect and lactation amount of the two groups were compared. Results The total effective rate （97.1%） in the observation group was significantly higher than that in the control group （73.5%）， the difference was statistically significant（χ2=5.7448， P=0.0165）； Compared with the control group， observation group can significantly improve the indifference and sleep， while there was no significant improvement on negative emotions， guilt， anxiety. After treatment， the amount of milk in the observation group was significantly more than that in the control group， the difference was statistically significant（P0.05）. Conclusion The treatment of postpartum depression by repeated transcranial magnetic stimulation has definite curative effect， significantly increases the amount of lactation， and is