氟西汀与体感振动音乐疗法联合疗法治疗脑卒中后抑郁的临床效果及其对神经功能缺损及抑郁的影响

Clinical effect of combination therapy with fluoxetine and somatosensory vibration therapy on post-stroke depression and its effect on neurological deficits and depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(4)
作者
作者单位

湖北省恩施市恩施州优抚医院 ;
湖北恩施州优抚医院心理科 ;

摘要
【摘要】目的:探讨氟西汀与体感振动音乐疗法联合治疗脑卒中后抑郁的临床疗效,并分析患者神经功能缺损与抑郁状态的变化。方法:选取2016/06-2017/06间的100例脑卒中后抑郁患者作为研究对象,将其按照随机数字表法分为联合组与对照组,各50例患者。对照组给予氟西汀治疗,联合组给予氟西汀与体感振动音乐疗法联合治疗,对两组患者神经功能缺损与抑郁状况进行对比观察。结果:治疗前联合组Vs对照组HAMD评分(24.89±3.16Vs25.23±3.05)分,差异无统计学意义(P>0.05);治疗后联合组Vs对照组HAMD评分(11.73±1.89Vs17.03±2.66)分,差异有统计学意义(P<0.05);治疗前联合组Vs对照组NIHSS评分(17.11±2.31Vs17.04±2.52)分,差异无统计学意义(P>0.05);治疗后联合组Vs对照组NIHSS评分(8.05±1.13Vs13.25±1.83)分,差异有统计学意义(P<0.05)。结论:临床中对于脑卒中后抑郁患者给予氟西汀与体感振动音乐疗法联合治疗效果明显,且对改善患者抑郁状态和神经功能缺损状况有着显著的作用,值得应用推广。
Abstract
【Abstract】 Objective: To investigate the clinical efficacy of fluoxetine combined with somatosensory music therapy in the treatment of poststroke depression, and to analyze the changes of neurological deficit and depression in patients. Methods: 100 posttraumal depression patients from 2016 / 06-2017 / 06 were selected as the subjects, and they were divided into 50 groups according to the random number table method. The patients in the control group were treated with fluoxetine and combined with fluoxetine and somatosensory music therapy. The neurological deficits and depressive conditions were observed in the two groups. Results: The HAMD score (24.89 ± 3.16Vs25.23 ± 3.05) was significantly different between the two groups before treatment (P> 0.05). After treatment, the HAMD score of the control group (11.73 ± 1.89Vs17.03 (P <0.05). There was no significant difference in the NIHSS score (17.11 ± 2.31Vs17.04 ± 2.52) before treatment group (P> 0.05). After treatment, the difference was statistically significant (P <0.05) The NIHSS score (8.05 ± 1.13Vs13.25 ± 1.83) in the control group was statistically significant (P <0.05). Conclusion: The clinical effect of fluoxetine and somatosensory music therapy in patients with poststroke depression is significant, and it has a significant effect on improving the status of depression and neurological deficits in patients. It is worthy of application.
关键词
【关键词】脑卒中;抑郁;氟西汀;体感振动音乐;神经功能缺损
KeyWord
【Key words】Stroke;Depression;Fluoxetine;Somatosensory vibration music;Neurological deficits
基金项目
页码 704-706
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董太新*,王京力,郭彩洪,黄远芳,刘忆. 氟西汀与体感振动音乐疗法联合疗法治疗脑卒中后抑郁的临床效果及其对神经功能缺损及抑郁的影响 [J]. 国际精神病学杂志. 2018; 45; (4). 704 - 706.

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