| 赵秋,胡小义,刘鹤,等.经颅微电流刺激对剖宫产术产妇产后抑郁的影响[J].安徽医药,2023,27(2):259-264. |
| 经颅微电流刺激对剖宫产术产妇产后抑郁的影响 |
| Effect of transcranial microcurrent stimulation on postpartum depression in women undergoing cesarean section |
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| DOI：10.3969/j.issn.1009-6469.2023.02.011 |
| 中文关键词: 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 |
| 英文关键词: Depression,postpartum Transcranial direct current stimulation Cesarean section Noninvasive brain stimulation technique Transcranial microcurrent stimulation Prefrontal cortex |
| 基金项目:江苏省自然科学基金面上项目( BK20181145) |
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| 中文摘要: |
| 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 |
| 英文摘要: |
| Objective To investigate the effect of transcranial microcurrent stimulation on postoperative depression scores in womenundergoing cesarean section.Methods A total of 120 women who underwent selective cesarean section in the Affiliated Hospital ofXuzhou Medical University from March to June 2021 were selected and divided into the intervention and control groups using the ran-dom number table method, with 60 cases each. After the completion of combined lumbar-epidural anesthesia, transcranial microcurrentstimulation was performed for 20 min in the intervention group; sham stimulation was performed for the same duration in the controlgroup. The Edinburgh Postnatal Depression Scale was scored before (T0), after (T1), before (T2) and 24 h (T3) after the operation. TheMaternal Fatigue Scale, Visual Analog Scale (VAS) and Postpartum Satisfaction Scale and the incidence of postpartum complicationswere measured at 24 h postoperatively (T3).Results There was no statistically significant difference between the two groups in preop-erative baseline levels with intraoperative conditions (P>0.05). Compared with the control group, the difference in depression scores be-tween the two groups before stimulation was not statistically significant (P>0.05), and the depression scores in the intervention group af-ter 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 con-trol group [4 (3.00,6.00) vs. 6(4.00,7.00), P<0.05], but the differences in postoperative fatigue scores, postoperative satisfaction scoresand the incidence of postoperative complications between the two groups were not statistically significant (P>0.05).Conclusion Tran-scranial microcurrent stimulation has a positive effect on improving postpartum depression levels in women undergoing cesarean sec-tion with combined lumbar and rigid anesthesia. It is hoped to provide evidence on the treatment strategy of maternal depression. |
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