太极拳运动联合音乐疗法对高血压脑出血患者肢体运动功能及生活质量的影响  

Effects of Tai chi sports combined with music therapy on limb movement function and quality of life in patients with hypertensive cerebral hemorrhage

作　　者：遆燕燕[1] 刘怀霖[2] Ti Yanyan;Liu Huailin(Department of Nursing,The Second People's Hospital of Jiaozuo,Jiaozuo Henan 454001,China;Department of Cardiology,The 7th People's Hospital of Zhengzhou,Zhengzhou 450006,China)

机构地区：[1]焦作市第二人民医院神经外科,河南焦作454001 [2]郑州市第七人民医院心内科,郑州450006

出　　处：《保健医学研究与实践》2019年第3期37-40,共4页Health Medicine Research and Practice

基　　金：河南省科技攻关计划(20160702)

摘　　要：目的探讨太极拳运动联合音乐疗法对高血压脑出血患者肢体运动功能、心理状态及生活质量的影响。方法本研究选取2016年3月-2017年6月河南省某医院收治的74例高血压脑出血患者为研究对象,采用随机数字表法将患者分为对照组和观察组,每组37例。对照组患者采取常规康复训练,观察组患者在对照组治疗基础上进行太极拳运动联合音乐疗法治疗。比较干预前及干预1个月时2组患者的肢体运动功能、心理状态及生活质量。结果干预1个月时,观察组、对照组患者运动障碍率分别为48.65%及75.68%,均低于干预前的94.60%及97.30%,且观察组患者运动障碍率低于对照组,差异均有统计学意义(P<0.05)。干预1个月时,观察组患者汉密尔顿抑郁量表(HAMD)及汉密尔顿焦虑量表(HAMA)评分分别为(7.2±3.0)分及(8.2±2.5)分,低于干预前的(15.8±3.6)分及(14.8±3.0)分,差异均有统计学意义(P<0.05);对照组患者HAMD及HAMA评分分别为(9.5±3.1)分及(10.2±2.8)分,低于干预前的(15.7±3.3)分及(14.5±2.7)分,差异均有统计学意义(P<0.05)。干预1个月时,观察组患者HAMD及HAMA评分均低于对照组,差异均有统计学意义(P<0.05)。干预1个月时,2组患者健康状况简表(SF-36)中躯体疼痛、活力、精神健康、情感职能、生理机能维度评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论在常规康复治疗基础上,对患者采取太极拳运动联合音乐疗法康复治疗的效果优于常规康复治疗,其有助于患者肢体运动功能的恢复,改善不良情绪及提高生活质量,临床效果显著,值得推广应用。Objective To assess the effects of Tai Chi sports combined with music therapy on limb movement function,psychological status and quality of life in patients with hypertensive cerebral hemorrhage.Methods Seventy-four patients with hypertensive cerebral hemorrhage who were treated at a Henan hospital between March 2016 and June 2017 were included in this study.Based on a random number table,patients were divided into the control group (routine rehabilitation training) and the trial group (routine rehabilitation training+Tai Chi sports+ music therapy),37 patients in each group.The limb movement function,psychological status and quality of life were assessed and compared between the two groups both at baseline and 1 month.Results At 1 month,the proportion of patients with movement dysfunction was reduced from baseline in both groups (trial group,48.65% versus 94.60%;control group,75.68% versus 97.30%),with a significantly greater reduction in the trial group compared with the control group ( P <0.05).At 1 month,the HAMD and HAMA scores in the trial group were 7.2±3.0 and 8.2±2.5,respectively,which were significantly lower than those at baseline (15.8±3.6 and 14.8±3.0,respectively,P <0.05);the HAMD and HAMA scores in the control group were 9.5±3.1 and 10.2±2.8,respectively,which were also significantly lower than those at baseline (15.7±3.3 and 14.5±2.7,respectively,P <0.05).At 1 month,both the HAMD and HAMA scores in the trial group were significantly lower than those in the control group ( P <0.05).At 1 month,the scores in the dimensions of bodily pain,vitality,mental health,role emotional,and role physical of SF-36 were improved from baseline in both groups,with significantly greater improvements in the trial group compared with the control group ( P <0.05).Conclusion As compared with routine rehabilitation treatment alone,the addition of Tai Chi sports and music therapy is more effective in restoring limb movement function,improving negative emotions and quality of life,which deserves widespread clinical a

关 键 词：音乐疗法 高血压脑出血 太极拳运动 肢体运动功能 

分 类 号：R74[医药卫生—神经病学与精神病学]