目的 探讨在常规治疗的基础上结合音乐运动疗法对脑梗死后患者抑郁情绪、运动功能及睡眠质量的影响.方法 选取本院2020年1月～2021年12月期间收治的100例脑梗死后患者,按双盲抽签的方式将其分为对照组和观察组各50例.观察组在常规药物、康复治疗的基础上给予音乐运动疗法;对照组给予常规药物治疗及相应的康复训练.两组患者分别治疗8周,在治疗前、后分别对两组患者进行Berg平衡量表(Berg Balance Scale,BBS)、神经功能缺损程度评分(National Institute of Health stroke scale,NIHSS)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)、汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)及睡眠情况进行评定.结果 治疗8周后,观察组的HAMD、HAMA、Berg平衡量表、NIHSS评分及匹兹堡睡眠质量指数评分均显著低于对照组,差异有统计学意义(P＜0.05).观察组的不良反应发生率与对照组比较,差别不大,差异无统计学意义(P＞0.05).2组患者治疗后的总有效率比较,差异也有统计学意义(P＜0.05).结论 在常规药物及康复治疗的基础上,给予音乐运动疗法可有效改善脑梗死后患者的神经功能,缓解患者的抑郁焦虑情绪,改善患者的睡眠质量,且治疗相对安全.
Effect of music exercise therapy on the mentality of patients after cerebral infarction
Objective To study the effect of combining music exercise therapy on depressive mood,motor function and sleep quality in patients after cerebral infarction.Method The 100 patients after cerebral infarction admitted to our hospital from January 2020 to December 2021 were selected and divided into control group and observation group according to double-blind lottery.The observation group received music exercise therapy on the basis of conventional medication and rehabilitation therapy;the control group only received conventional drug therapy and corresponding rehabilitation training.The two groups were treated for 8 weeks on the Berg Balance Scale(Berg Balance Scale,BBS),degree of neurological deficit score(National Institute of Health stroke scale,NIHSS),Hamilton Depression Scale(Hamilton Depression Scale,HAMD),Hamilton Anxiety Scale(Hamilton Anxiety Scale,HAMA),and sleep status before and after treatment.Re-sults After 8 weeks of treatment,the HAMD,HAMA,Berg balance scale,NIHSS score,and Pittsburgh Sleep Qual-ity Index(Pittsburgh sleep quality index,PSQI)scores were significantly lower than the control group,with significant differences(P＜0.05).The incidence of adverse reactions in the observed group was not very different from the control group,and the difference was not statistically significant(P＞0.05).The total response rate after treatment in group 2 was also statistically significant(P＜0.05).Conclusion On the basis of conventional drugs and rehabilitation therapy,it can effectively improve the recovery of neural function after cerebral infarction,relieve the depression and anxiety of patients,improve the sleep quality of patients,and the treatment is relatively safe.
Music exercise therapyDepression and anxietyNeurological deficitSleep quality index
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