Effect of olanzapine combined with repetitive transcranial magnetic stimulation in the treatment of schizophrenia with auditory hallucination

Abstract

Objective To study the effect of olanzapine combined with repetitive transcranial magnetic stimulation(rTMS) in the treatment of phonism dominated schizophrenia. Methods From August 2015 to November 2016, 112 patients with phonism based schizophrenia in Ningbo Kangning Hospital were selected in the research.According to the different treatment, the patients were divided into observation group and control group, with 56 cases in each group.The observation group was treated with olanzapine combined with rTMS chemotherapy, the control group was treated with olanzapine.Before and after treatment, the positive and negative symptom scale(PANSS) score, Wisconsin Card Sorting Test(WCST) score of the two groups were observed.The clinical efficacy was compared between the two groups. Results Before treatment, there were no statistically significant differences in PANSS score and WCST score between the two groups(all P>0.05). After treatment for 1 week, 2 weeks, 4 weeks, the PANSS scores of the two groups were significantly lower than those before treatment(F=170.710, 106.028, 28.530, 30.328, 25.806, 10.832, 203.342, 372.253, all P 0.05). Conclusion Olanzapine combined with rTMS is effective in the treatment of schizophrenia, and olanzapine combined with rTMS is more effective in improving the cognitive ability of patients than olanzapine alone. Key words: Schizophrenia; Auditory hallucination; Olanzapine; Repetitive transcranial magnetic stimulation