瑜伽放松训练联合文拉法辛对产后抑郁症患者的效果

The effect of Yoga relaxation training combined with venlafaxine in patients with postpartum depression

目的探讨瑜伽放松训练联合文拉法辛对产后抑郁症患者的短期效果。方法选取我院收治的84例(2017年6月至2019年2月)产后抑郁症患者作为研究对象,简单随机化分为对照组(42例)、观察组(42例)。对照组采取文拉法辛治疗,观察组采取瑜伽放松训练+文拉法辛治疗。治疗6周后,比较两组患者治疗前后汉密尔顿抑郁(HAMD)、焦虑(HAMA)评分、睡眠及不良反应发生情况。结果观察组治疗效率95.24%,高于对照组80.95%(P<0.05);两组治疗2周、4周、6周后HAMD、HAMA评分较治疗前显著下降,且观察组低于对照组(P<0.05);治疗6周后,两组总睡眠时间、睡眠效率、睡眠潜伏期、睡眠期觉醒时间较治疗前显著改善,且观察组改善幅度大于对照组(P<0.05);观察组不良反应发生率7.14%(3/42)较对照组23.81%(10/42)低(P<0.05)。结论瑜伽放松训练联合文拉法辛可更好的缓解产后抑郁症患者的抑郁、焦虑情绪,改善睡眠障碍,还可减少药物不良反应。

Objective To study the short-term effect of Yoga relaxation training combined with venlafaxine on postpartum depression patients. Methods 84 patients with postpartum depression admitted to our hospital from June 2017 to February 2019 were selected and randomly divided into control group(42 cases)and observation group(42 cases). The control group was treated with venlafaxine,while the observation group was treated with yoga relaxation training plus venlafaxine. After 6 weeks of treatment,the therapeutic effect,Hamilton depression(HAMD),anxiety(HAMA),sleep disorders and adverse reactions were compared between the two groups before and after treatment. Results The treatment efficiency of the observation group was 95.24%,which was higher than that(80.95%)in the control group(P<0.05). The scores of HAMD and HAMA in the two groups decreased significantly after 2,4 and 6 weeks of treatment,and the scores in the observation group were lower than those in the control group(P<0.05). After 6 weeks of treatment,the total sleep time,sleep efficiency,sleep latency and sleep awakening time in the two groups were significantly improved,and the observation group was better than the control group(P<0.05),and the incidence of adverse reactions in the observation group was 7.14%,which was lower than that(23.81%)in the control group(P<0.05). Conclusion Yoga relaxation training combined with venlafaxine is effective in the treatment of postpartum depression. It can significantly alleviate depression and anxiety,improve sleep disorders,and reduce adverse drug reactions.