心理干预联合电针及高压氧治疗脑外伤后抑郁症的疗效观察  

The therapeutic effect of psychological intervention combined with electroacupuncture and hyperbaric oxygen therapy on patients with depression after traumatic brain injury

作　　者：徐芝灵[1] 李家亮[1] 

机构地区：[1]河南省商丘市第一人民医院,商丘476100

出　　处：《中华物理医学与康复杂志》2011年第1期39-42,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的 观察心理干预联合电针及高压氧治疗脑外伤（TBI）后抑郁症的疗效.方法 共选取TBI后抑郁症患者45例,采用随机数字表法将其分为治疗组及对照组.2组患者均给予氟西汀等常规药物治疗,治疗组则在上述基础上辅以心理干预、电针及高压氧联合治疗.于治疗前、治疗8周后分别采用汉密尔顿抑郁量表（HAMD）、改良爱丁堡-斯堪的那维亚卒中量表（MESSS）及生活质量指标问卷（QL-INDEX）对2组患者抑郁程度、神经功能缺损及生活质量进行评定.结果 治疗前2组患者HAMD、MESSS及QL-INDEX评分组间差异均无统计学意义（均P＞0.05）;经8周治疗后,发现2组患者上述指标均较治疗前明显改善（P＜0.05）,且以治疗组的改善幅度相对较显著,与对照组间差异具有统计学意义（P＜0.05）.结论 心理干预联合电针及高压氧治疗有助于进一步改善TBI后抑郁症患者神经受损功能,减轻抑郁程度,提高生活质量,该联合疗法值得临床推广、应用.Objective To investigate the effect of psychological intervention combined with electroacupuncture and hyperbaric oxygen therapy on patients with depression after traumatic brain injury （TBI）. Methods Forty-five patients with depression after TBI were randomly divided into a treatment group and a control group. The two groups were both treated with routine medication and anti-depression drugs （ Fluoxetine ） for 8 weeks as a routine course of treatment, but psychological intervention combined with electroacupuncture and hyperbaric oxygen therapy was added to the treatment group＇s regimen. Hamilton Depression Scale （ HAMD）, Modified Edingberg Scandinavian Stroke Scale （MESSS） and Quality of Life-index （QL-INDEX） scores were evaluated at the end of 8 weeks.Results There was no significant difference in the average HAMD, MESSS or QL-INDEX scores of the two groups before therapy. After treatment, the average HAMD and MESSS scores of the treatment group were significantly lower than those of the control group, and the average QL-INDEX score was significantly higher. Conclusions Psychological intervention combined with electroacupuncture and hyperbaric oxygen therapy plays an important role in the treatment of patients with depression after TBI to improve their mental status, treatment effectiveness and quality of life.

关 键 词：心理干预 高压氧 脑外伤 抑郁 生活质量 

分 类 号：R651.1[医药卫生—外科学] R246.2[医药卫生—临床医学]