重复经颅磁刺激在青少年抑郁症合并睡眠障碍中的应用价值研究

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AbstractObjective：Toanalyzetheefectof repetitive transcranial magnetic stimulationondepressionaccompaniedbysleep disorders nadolescentpatients.Methods：Atotalof8adolescentpatientswithdepresionandslepdisordersadmited tothe DepartmentofPsychiatryofFuzhou SecondGeneral Hospital fromJune2O22 to June2O23 wereenroled.Theyweredivided into acontrolgroupandanobservation groupbyrandom numbertable，with43cases ineach group.Patientsinthecontrol group were treatedwithescitalopramoxalatetablets，hilepatientsintheobservationgroupwereadditionallytreatedwithrepetitivetranscranial magnetic stimulation.Thetreatment outcomesof the two groupswerecomparedandresultsof Hamilton Depresion Scale （HAMD），Social Disability Screeing Schedule（SDSS），Adolescent Sleep Hygiene Questionnaire（（ASHQ），and Pitsburgh Sleep Quality Idex（PSQI）beforeandafter treatment wereanalyzed.Results： Compared withtheASHQ scoresafter treatment，the HAMD score，SDSS score，PSQIscore，total sleeptime，sleeplatency，noctual awakening，andslepresistanceof thetwogroups showedastatisticaldownwardtrendcomparedwithtoseperformedaftertreatment，andtheobservationgrouphadasignificantdecreasing trend（ P<0.05 ）. Conclusion： Repetitive transcranial magnetic stimulation has a significant effect on improving sleep qualityof adolescent patients withdepressonandslepdisordersandcan improvesymptoms ofdepressionandsocialfunctioning. KeywordsRepetitivetranscranial magneticstimulation；Escitalopramoxalatetablets；Adolescence；Depresion；Sleepdisorders；Depressive emotion； Sleep quality; Cognitive Function 中图分类号：R338.63;R749.4 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.04.052

抑郁症是以情绪低落、兴趣减退为主要特征的精神障碍疾病，可同时存在认知、行为和躯体症状，进一步加重患者的痛苦[1]。（剩余4574字）