摘要
目的调查研究音乐治疗应用于卒中后抑郁患者的临床疗效及其在患者社会功能恢复中的作用。方法选取符合ICD-10卒中后抑郁诊断标准的患者98例,随机分为音乐治疗组(音乐治疗+抗抑郁药物治疗)和对照组(常规抗抑郁药物治疗),治疗前及治疗8周后采用汉密尔顿抑郁量表(HAMD)评定临床疗效、席汉残疾量表(SDS)评定社会功能恢复情况。结果共95例完成研究,治疗8周末,两组汉密尔顿抑郁量表(HAMD)总分较治疗前显著下降(P<0.05),音乐治疗组较对照组显著下降(P<0.05);两组席汉残疾量表(SDS)均较治疗前显著降低(P<0.05),音乐治疗组较对照组显著降低(P<0.05)。结论音乐治疗联合抗抑郁剂治疗卒中后抑郁较单用抗抑郁剂治疗效果更显著,能有效改善患者的社会功能。
Objective To investigate the clinical efficacy of music therapy in the treatment of patients with pos-stroke depression and its role in the patients′ social function recovery.Methods 98 patients meeting the diagnostic criteria of ICD-10 post-stroke depression were selected and randomly divided into the music therapy group（music therapy ＋ antidepressant drug therapy） and the control group（conventional antidepressant drug therapy）.Before the treatment and 8 weeks after the treatment,the clinical efficacy was evaluated by using the Hamilton Depression Rating Scale（HAMD） and the social function recovery was evaluated by using the Sheehan Disability Scale（SDS）.Results A total of 95 patients finished the study,at the end of 8 weeks after the treatment,the total HAMD scores of both groups significantly decreased compared to those before the treatment（P 0.05）,and the music therapy group decreased more significantly than the control group（P 0.05）.The SDS scores of both groups significantly decreased compared to those before the treatment（P 0.05）,and the music therapy group decreased more significantly than the control group（P 0.05）.Conclusion Music therapy combined with antidepressant drug therapy is more effective than single antidepressant drug therapy in the treatment of post-stroke depression and can effectively improve the patients＇ social function.
出处
《中国医药导报》
CAS
2013年第2期61-62,65,共3页
China Medical Herald
关键词
卒中后抑郁
音乐治疗
临床疗效
社会功能
Post-stroke depression
Music therapy
Clinical efficacy
Social function
