摘要
目的探讨经帧微电流刺激治疗（CES）联合心理干预对脑梗死后抑郁的影响。方法采用随机数宁表法将80例脑梗死后抑郁患者分为治疗组和对照组，每组40例。2组患者均给予常规康复训练和心理干预，治疗组在此基础E辅以CES。治疗前、治疗4周后，采用汉密尔顿抑郁量表（HAMD）、简易精冲状态鞋表（MMSE）及Barthel指数（BI）评分对2组患者进行疗效评定。结果治疗前，2组患者HAMD、MMSE及BI评分之间比较，差异无统计学意义（P〉0．05）。治疗4周后，2组患者HAMD、MMSE及BI评分均较组内治疗前改善，且治疗组HAMD[（11．91±4．34）分]、MMSE[（25．54±1．49）分]及BI评分[（65．19±5．28）分]优于对照组HAMD[（14．76±3．43）分]、MMSE[（22．79±1．38）分]及BI评分[（60．88±6．67）分]，差异有统计学意义（P〈0．05）。治疗4周后，治疗组总显效率（70．0％）高于对照组总显效率（37．5％），差异有统计学意义（P〈0．05）。结论CES联合心理丁预能明显改善脑梗死后抑郁患者的抑郁症状及认知功能，对提高患者H常生活活动（ADL）能力具有重要作用。
Objective To evaluate the effects of cranial electrotherapy stimulation therapy combined with psychological intervention for treating depression after cerebral infarction. Methods Eighty persons diagnosed with depression after cerebral infarction were divided randomly into a treatment group and a control group. Both groups were given routine rehabilitation training and psychological intervention, but the treatment group also received micro- current transcranial electrical stimulation treatment. All the patients were evaluated with Hamilton＇s depression scale （HAMD） and the mini-mental state exam （MMSE） and given Barthe] index （BI） scores befnre and after 4 weeks of treatment. Results There was no significant difference between the 2 groups in terms of any of the measures before treatment. After 4 weeks of treatment, both groups had improved significantly, but the improvements on all iueasures were significantly better in the treatment group. Conclusion Cranial electrotherapy combined with psychological in- tervention can significantly improve symptoms of depression and cognitive function in patients with post-stroke depres- sion, and play an important role in improving their daily life.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2015年第9期680-682,共3页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
脑梗死
抑郁
经颅微电流刺激
心理干预
Depression
Cranial electrotherapy
Stimulation
Psychological interventions
