运动疗法对温州市某医院抑郁障碍患者抑郁症状和认知功能的影响  

Effect of Exercise Therapy on Depressive Symptoms and Cognitive Function of Depressive Patients in a Hospital of Wenzhou City

作　　者：郑天生[1] 张赢斌 董周浒 钱磊 叶敏捷[1] Zheng Tiansheng(Sleep Diagnosis and Treatment Center of Depression Diagnosis and Treatment Center of TheSeventh People's Hospital of Wenzhou City, Wenzhou, 325000)

机构地区：[1]温州医科大学附属康宁医院抑郁症诊疗中心睡眠诊疗中心,温州325000 [2]温州医科大学仁济学院,温州325035 [3]温州医科大学精神卫生学院,温州325035 [4]温州医科大学附属康宁医院院办,温州325000

出　　处：《医学与社会》2019年第3期107-111,共5页Medicine and Society

基　　金：浙江省医药卫生科技计划项目;编号为2017RC027;温州市科技局科研资金项目;编号为Y20160255

摘　　要：目的:探析运动疗法对改善抑郁障碍患者抑郁症状及认知功能损害的影响。方法:入组60例抑郁障碍患者,随机分为干预组与对照组,分别进行情绪量表评估和重复性成套神经心理状态测验(RBANS)。干预组进行运动疗法+常规治疗,对照组只进行常规治疗,治疗4周后再次进行情绪量表评估和RBANS测试。结果:治疗后干预组的MADRS评分明显低于对照组,两组存在显著差异(P<0.001);干预组治疗后的HAMA评分低于对照组,两组存在时间和运动疗法交互作用的统计学差异(P<0.05);治疗后干预组的视觉广度、语言功能、RBANS总分高于对照组,两组的时间和运动疗法存在交互作用的统计学差异(P<0.05)。结论:运动疗法对抑郁障碍患者的抑郁焦虑症状和认知功能改善均有显著疗效。Objective: To explore the effect of exercise therapy on depressive symptoms and cognitive function in depressive patients. Methods: 60 patients with depressive disorder were randomly divided into intervention group and control group. The two groups were respectively performed by the emotional scale assessment and Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). The intervention group received exercise therapy plus routine treatment, while the control group only received routine treatment. After 4 weeks of treatment, the emotional scale and RBANS test were performed again. Results: After treatment, the MADRS score of the intervention group was significantly lower than that of the control group, and there was a significant difference between the two groups ( P <0.001). The HAMA scores in the intervention group were lower than those in the control group after treatment. There was statistical difference in the interaction between time and exercise therapy between the two groups ( P <0.05). The visual breadth, language function and RBANS total score of the intervention group were higher than those of the control group after treatment. There were statistical differences in the interaction between the two groups of time and exercise therapy ( P <0.05). Conclusion: Exercise therapy has significant effects on depression, anxiety and cognitive function of depressive patients.

关 键 词：抑郁障碍 运动疗法 RBANS 认知功能 

分 类 号：R19-0[医药卫生—卫生事业管理]