|
|
Clinical Efficacy of Escitalopram Combined with Electrical Stimulation Aversion Therapy on Refractory Obsessive-compulsive Disorder:31 Cases of Clinical Report |
ZHENGLin, TIANYue, CHENGAO-bo, et al |
Kailuan Mental Health Center Affiliated to North China University of Science and Technology,Tangshan 063000 |
|
|
Abstract 【Objective】 To investigate the effect of escitalopram combined with electrical stimulation aversion therapy on refractory obsessive-compulsive disorder. 【Methods】 From January 2017 to January 2018, 62 cases of patients with refractory obsessive-compulsive disorder were studied in our hospital. According to the simple random method, they were divided into two groups, 31 cases in each group; the control group was treated with escitalopram, and the observation group was treated with escitalopram combined with electric stimulation aversion therapy. The therapeutic effects, the Yale-Brown compulsion scale, HAMA scale score, and the incidence of adverse reactions during treatment were compared between the two groups. 【Results】 The effective rate of the control group was 74.29%, the effective rate of the observation group was 93.55%, and the effective rate of the observation group was higher than that of the control group (P<0.05). The scores of the Yale-Brown and HAMA scales in the two groups were lower than those before the treatment (P<0.05), and the score of the Yale-Brown compulsion scale in the observation group was lower than that of the control group (P<0.05), and there was no statistical difference between the two groups after the treatment (P>0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). 【Conclusion】 Escitalopram combined with electrical aversion therapy is effective in treating obsessive-compulsive disorder. It can effectively improve the clinical symptoms of patients with high safety.
|
Received: 28 June 2018
|
|
|
|
|
[1] 雷辉, 朱熊兆, 张小崔. 强迫症自知力与临床特征、认知及神经生理功能的关系[J].中国临床心理学杂志, 2017, 25(4):780-782. [2] 高睿, 范青, 张宗凤,等. 强迫症的认知功能及其研究方法述评[J].临床精神医学杂志, 2016, 26(5):355-357. [3] 黄英民. 难治性强迫症的临床治疗研究进展[J].当代医学, 2016, 22(27):12-13. [4] 朱华, 李满香, 廖万威,等. 药物联合电刺激厌恶疗法与药物治疗强迫症的效果比较[J].广东医学, 2017, 38(s1):244-245. [5] 中华医学会精神医学分会《中国强迫症防治指南》编写组. 中国强迫症防治指南2016(精编版)[J].中华精神科杂志, 2016, 49(6):353-366. [6] 徐勇, 张海音. Yale-Brown强迫量表中文版的信度和效度[J].上海精神医学, 2006, 18(6):321-323. [7] Cath D C, Nizar K, Boomsma D,et al. Age-specific prevalence of hoarding and obsessive compulsive disorder: a population-based study[J].Am J Geriatric Psychiatry,2016, 25(3):245-255. [8] Jaisoorya T, Reddy Y J, Nair B, et al. Prevalence and correlates of obsessive-compulsive disorder and subthreshold obsessive-compulsive disorder among college students in Kerala, India[J].Indian J Psychiatry,2017, 59(1):56. [9] Batmaz S, Yildiz M, Songur E. Psychopharmacological treatment differences in autogenous and reactive obsessions: A retrospective chart review[J].Nordic J Psychiatry,2016, 70(1):31. [10] Pelissolo A, Harikagermaneau G, Rachid F, et al. Repetitive transcranial magnetic stimulation to Supplementary motor area in refractory obsessive-compulsive disorder treatment: a sham-controlled trial[J].Int J Neuropsychopharmacol,2016, 19(8):pyw025. [11] 赵约翰, 朱国辉, 杨娟,等. 暴露反应阻止对5-羟色胺再摄取抑制剂抵抗强迫症患者疗效的影响[J].临床心身疾病杂志, 2016, 22(4):89-91. [12] 战玉华, 韩继阳, 邵云,等. 帕利哌酮缓释片联合选择性5-羟色胺再摄取抑制剂治疗难治性强迫障碍疗效观察[J].实用药物与临床, 2016, 19(7):889-892. [13] Pallanti S, Marras A, Salerno L, et al. Better than treated as usual: Transcranial magnetic stimulation augmentation in selective serotonin reuptake inhibitor-refractory obsessive-compulsive disorder, mini-review and pilot open-label trial. [J].J Psychopharmacol,2016, 30(6):264-265. [14] 杨明辉. 艾司西酞普兰对强迫症患者临床疗效及安全性分析[J].医药前沿, 2017, 7(7):257-258. [15] 崔向波. 艾司西酞普兰与西酞普兰治疗抑郁症的对照研究[J].中国处方药, 2016, 14(7):70. [16] 胡昕. 强迫症患者施行心理护理干预的价值评估及分析[J].中国医药指南, 2017, 15(2):222-223. [17] 符泽娟, 谢海玲. 认知行为干预疗法对改善强迫症患者心理状态及生活质量的效果评价[J].实用临床医药杂志, 2016, 20(8):17-20. [18] Alwan S, Bandoli G, Chambers CD. Maternal use of selective serotonin-reuptake inhibitors and risk of persistent pulmonary hypertension of the newborn. [J].Clin Pharmacol Ther,2016, 100(1):34-41. [19] Winter SG, Cattani G, Dorsch A. The value of moderate obsession: insights from a new model of organizational search[J].Lem Papers,2016, 18(3):403-419. [20] 赵艳卓, 韦卿. 心理治疗在强迫症治疗中应用进展[J].医学理论与实践, 2016, 29(14):1856-1857. |
|
|
|