交变电磁场疗法对脑卒中后抑郁的临床效果  

Effectiveness of Alternating Electromagnetic Field Therapy for Post-stroke depression

作　　者：张华[1] 李灵真[2] 罗英姿[1] 白永生[1] 乔惠敏[1] 

机构地区：[1]宁夏自治区人民医院神经内科,银川7500021 [2]宁夏医科大学,银川750004

出　　处：《中国康复》2011年第3期180-181,共2页Chinese Journal of Rehabilitation

基　　金：银川市科技发展项目基金(2010452)

摘　　要：目的:探讨交变电磁场疗法对脑卒中后抑郁(PSD)患者的临床效果。方法:PSD患者119例,分为磁疗组61例和对照组58例,均配合心理治疗及服用帕罗西汀片,磁疗组增加交变电磁场治疗30 min,每日1次。治疗前后均采用汉密顿抑郁量表(HAMD)、临床神经功能缺损评分(CNS)及ADL评分评定抑郁状态、神经功能缺损程度及ADL。结果:经过平均4周的治疗,2组HAMD及ADL评分与治疗前比较均有明显下降,磁疗组表现更明显(均P<0.01)。CNS评分,磁疗组较治疗前及对照组明显下降,对照组治疗前后变化不明显。治疗后临床疗效比较,磁疗组痊愈率及总有效率均明显高于对照组(47.5%、88.5%与25.9%、74.1%,P<0.05)。结论:应用交变磁场治疗脑卒中后抑郁能明显改善患者精神症状,降低神经功能的缺损程度。Objective： To investigate the efficiency of alternating electromagnetic field therapy for post-stroke depression.Methods： 119 patients with poststroke depression were assigned to the alternating electromagnetic field therapy group（61 cases） and control group（58 cases）.All patients were treated by integrated psychotherapy,simultaneously,Paroxetine were taken.The electromagnetic therapy group was given alternating electromagnetic field therapy additionally,30 min once time every day for 4 weeks.Both groups were assessed with Hamilton Depression Rating Scale（HAMD）,Clinical Neurological Score（CNS） and activities of daily living scale（ADL）.Results： After treatment for 4 weeks,the effective rate of alternating electromagnetic therapy group was 88.5%,significantly higher than 74.1% of control group（P0.05）.HAMD,CNS and ADL scales in the two groups were significantly lower than those before treatment（all P0.01）.Conclusion： On the basis of comprehensive psychological treatment,alternating electromagnetic therapy in combination with medication could obviously improve post-stroke depression symptoms,which would be an adjuvant therapy of PSD.

关 键 词：交变电磁场 脑卒中 抑郁 

分 类 号：R749.1[医药卫生—神经病学与精神病学]