高压氧+左旋多巴+心理干预治疗急性脑梗死失语症患者的临床疗效分析
Clinical effect of hyperbaric oxygen + levodopa + psychological intervention on aphasia patients with acute cerebral infarction
ES评分 0
| DOI |
| 刊名 |
Journal of International Psychiatry
|
| 年,卷(期) |
2022, 49(1) |
| 作者 |
|
| 作者单位 |
河南省濮阳市人民医院急诊重症监护室 ;
|
| 摘要 |
【摘要】目的:探讨分析高压氧+左旋多巴+心理干预治疗ACI(急性脑梗死)失语症患者的临床疗效。方法:选取本院2018年9月至2020年9月期间住院治疗的86例ACI失语症患者作为研究对象,按随机数字表法将研究对象随机分为观察组和对照组,对照组43例患者予以左旋多巴治疗,观察组43例患者予以高压氧+左旋多巴+心理干预治疗,观察对比两组患者的临床疗效及治疗前后的西部失语症检查(WAB)评分、日常生活交流能力量表(CADL)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、Herth希望量表(HHI)评分、世界卫生组织生存质量测定量表(WHOQOL-BREF)评分。结果:观察组患者的临床总有效率(95.35%)高于对照组(67.44%)(P<0.05)。观察组患者治疗后WAB评分、CADL评分、HHI评分、WHOQOL-BREF评分均高于对照组,SAS评分、SDS评分均低于对照组(P<0.05)。结论:高压氧+左旋多巴+心理干预治疗可有效改善ACI失语症患者的失语症状,提高沟通、交流能力,提高希望水平,改善其生活质量及焦虑、抑郁情绪,临床疗效确切,值得临床推广应用。
|
| Abstract |
[Abstract] Objective: To explore and analyze the clinical effect of hyperbaric oxygen + levodopa + psychological intervention on patients with ACI (acute cerebral infarction) aphasia. Methods: 86 patients with ACI aphasia hospitalized in our hospital from September 2018 to September 2020 were selected as the research objects. The research objects were randomly divided into observation group and control group according to the random number table method. 43 patients in the control group were treated with levodopa, and 43 patients in the observation group were treated with hyperbaric oxygen + levodopa + psychological intervention, The clinical efficacy of the two groups and the scores of Western Aphasia Examination (WAB), daily life Communication Ability Scale (CADL), self rating Anxiety Scale (SAS), self rating Depression Scale (SDS), Herth Hope Scale (HHI) and World Health Organization Quality of life scale (WHOQOL-BREF) before and after treatment were observed and compared. Results: The total clinical effective rate of the observation group (95.35%) was higher than that of the control group (67.44%) (P<0.05). After treatment, the WAB score, CADL score, HHI score and WHOQOL-BREF score of the observation group were higher than those of the control group, and the SAS score and SDS score of the observation group were lower than those of the control group (P<0.05). Conclusion: hyperbaric oxygen + levodopa + psychological intervention can effectively improve the aphasia symptoms of patients with ACI aphasia, improve their communication and communication ability, improve their hope level, improve their quality of life, anxiety and depression. It has definite clinical effect and is worthy of clinical application.
|
| 关键词 |
【关键词】高压氧;左旋多巴;心理干预;急性脑梗死;失语症;临床疗效
|
| KeyWord |
[Key words] hyperbaric oxygen; l-dopa; Psychological intervention; Acute cerebral infarction; Aphasia; Clinical efficacy
|
| 基金项目 |
|
| 页码 |
108-111 |
刘卫芳*.
高压氧+左旋多巴+心理干预治疗急性脑梗死失语症患者的临床疗效分析 [J].
国际精神病学杂志.
2022; 49; (1).
108 - 111.