摘要
目的观察陈氏太极拳训练营在卒中后抑郁患者中的应用效果。方法选取2021年9月至2022年9月于广东省人民医院赣州医院住院治疗的80例卒中后抑郁患者为研究对象,按照随机数字表法将其分为对照组(40例)和试验组(40例)。对照组实施常规康复治疗方案,试验组在基础康复治疗基础上实施陈氏太极拳训练营干预,两组均干预8周。比较两组患者干预前、干预4、8周后的抑郁状态、日常生活能力、上下肢功能恢复、睡眠质量、生活质量情况。结果两组干预4、8周后汉密尔顿抑郁量表(HAMD)评分低于干预前,且试验组低于对照组,差异有统计学意义(P<0.05);两组干预4、8周后Barthel指数(BI)评分高于干预前,且试验组高于对照组,差异有统计学意义(P<0.05);两组干预4、8周后Fugl-Meyer评定量表(FMA)上肢、下肢评分高于干预前,且试验组高于对照组,差异有统计学意义(P<0.05);两组干预4周、8周后匹兹堡睡眠质量指数量表(PSQI)评分低于干预前,生活质量指数(QLI)高于干预前,且试验组PSQI评分低于对照组,QLI评分高于对照组,差异有统计学意义(P<0.05)。结论陈氏太极拳训练营可改善卒中后抑郁患者抑郁状况,提高睡眠质量,促进上肢功能、日常生活能力及生活质量的提升。
Objective To observe the effect of Chen's Taiji boxing training camp in patients with post-stroke depression.Methods A total of 80 patients with post-stroke depression who were hospitalized in Ganzhou Hospital,Guangdong Provincial People's Hospital from September 2021 to September 2022 were selected as the study objects,and were divided into control group(40 cases)and experimental group(40 cases)according to random number table method.The control group was given routine rehabilitation treatment,and the experimental group was given Chen's Taiji boxing training camp intervention on the basis of basic rehabilitation treatment.Both groups were treated for 8 weeks.The two groups were compared with depressive status,daily living ability,upper and lower limb function recovery,sleep quality and quality of life before and 4,8 weeks after treatment.Results After 4 and 8 weeks of intervention,the Hamilton depression scale(HAMD)scores in both groups were lower than before intervention,and the experimental group was lower than the control group,the differences were statistically significant(P<0.05).Barthel index(BI)score were higher in both groups after 4 and 8 weeks of intervention than before intervention,and the experimental group was higher than the control group,the differences were statistically significant(P<0.05).After 4 and 8 weeks of intervention,the scores of the upper and lower limbs of the Fugl-Meyer assessment scale(FMA)in the two groups were higher than before intervention,and the scores in the experimental group were higher than those in the control group,the differences were statistically significant(P<0.05).After 4 and 8 weeks of intervention,the Pittsburgh sleep quality index(PSQI)score of the two groups was lower than before intervention,and the quality of life index(QLI)was higher than before intervention,and the PSQI score of the experimental group was lower than that of the control group,and the QLI score was higher than that of the control group,the differences were statistically significant(P<0.05).Co
作者
王健
魏文
钟珊
刘宏文
WANG Jian;WEI Wen;ZHONG Shan;LIU Hongrven(Department of Neurology,Ganzhou Hospital,Guangdong Provincial People's Hospital,Ganzhou Munieipal Hospital,Jiangxi Province,Ganzhou 341000,China;Department of Rehabilitation,Ganzhou Hospital,Guangdong Provincial Peo-ple's Hospital,Ganzhou Municipal Hospital,Jiangxi Province,Ganzhou 341000,China;Department of Emergency,Ganzhou Hospital,Guangdong Provincial People's Hospital,Ganzhou Municipal Hospital,Jiangxi Province,Ganzhou 341000,China)
出处
《中国当代医药》
CAS
2024年第4期58-61,66,共5页
China Modern Medicine
基金
江西省中医药管理局科技计划项目(2021B356)。
关键词
陈氏太极拳训练营
卒中后抑郁
肢体功能
日常生活能力
睡眠质量
Chen's Taiji boxing training camp
Post-stroke depression
Limb function
Daily living ability
Sleep quality
