摘要
目的 探讨强制性运动疗法联合抗抑郁治疗对脑梗死偏瘫患者运动功能的影响。方法 选取2017年2月至2019年6月于本院就诊收治的208例脑梗死偏瘫患者作为研究对象,按随机数表法分为A组、B组、C组、D组(各52例)。B组给予常规治疗,C组给予单用抗抑郁治疗,D组给予单用强制性运动疗法,A组在B组的基础上加以强制性运动疗法联合抗抑郁治疗,对比四组患者治疗后各时段的运动功能量表(FAM)评分及汉密尔抑郁量表(HAMD-17)评分的变化水平。结果 治疗前四组患者的FMA评分均较治疗前升高,且A组治疗后各时段的FAM评分显著高于B组、C组、D组(P<0.05)。治疗前四组患者的HAMD-17评分均较治疗前降低,且A组治疗后的个时间段评分显著低于B组、C组、D组(P<0.05)。结论 强制性运动疗法联合抗抑郁治疗能有效改善脑梗死偏瘫患者的运动功能,提高患者的生活质量。
Objective To explore the effect of compulsive motor therapy combined with antidepressant therapy on motor function of hemiplegic patients with cerebral infarction.Methods 208 cases of cerebral infarction patients with hemiplegia treated in our hospital from February 2017 to June 2019 were selected as the research objects and randomly divided into group A,group B,group C and group D(52 cases in each group).Group B was given conventional treatment,group C was given antidepressant treatment alone,group D was given mandatory exercise therapy alone,and group A was given mandatory exercise therapy combined with antidepressant treatment on the basis of group B.the changes of motor function scale(FAM)score and Hamilton Depression Scale(HAMD-17)score in each period after treatment were compared among the four groups.Results Before treatment,the FMA scores of the four groups were higher than before treatment,and the fam scores of group A were significantly higher than those of group B,group C and group D(P<0.05).The HAMD-17 scores of the four groups before treatment were lower than those before treatment,and the scores of group A after treatment were significantly lower than those of group B,group C and group D(P<0.05).Conclusion Compulsive exercise therapy combined with antidepressant therapy can effectively improve the motor function and quality of life of cerebral infarction patients with hemiplegia.
作者
万会芳
Wan Huifang(Xiangcheng County People's Hospital,Xuchang,Henan 461700)
出处
《辽宁医学杂志》
2022年第4期26-28,共3页
Medical Journal of Liaoning
关键词
强制性运动疗法
抗抑郁治疗
脑梗死
偏瘫
Compulsory exercise therapy
Antidepressant therapy
Cerebral infarction
Hemiplegia
