基于视觉刺激的图片疗法对脑卒中后抑郁的疗效分析  

Therapeutic effect of picture therapy based on visual stimulation on post-stroke depression

作　　者：向文强 付国娇 籍凌蔚 杜怡丹 黄晓慧[1] 马学玲[1] Wen-qiang Xiang;Guo-jiao Fu;Ling-wei Ji;Yi-dan Du;Xiao-hui Huang;Xue-ling Ma(Department of Neurology,the Fourth Affiliated Hospital of Harbin Medical University,Harbin,Heilongjiang 150001,China)

机构地区：[1]哈尔滨医科大学附属第四医院神经内科,黑龙江哈尔滨150001

出　　处：《中国现代医学杂志》2020年第8期70-73,共4页China Journal of Modern Medicine

基　　金：国家自然科学基金(No:81441039);哈尔滨医科大学附属第四临床医学院院内基金(No:HYDSYJQ201506);哈尔滨医科大学附属第四医院非纵向课题(No:ET170602002);哈尔滨医科大学研究生实践创新项目(No:HYYJF2018184)。

摘　　要：目的探究基于视觉刺激的图片疗法对脑卒中后抑郁(PSD)症状及神经功能恢复的疗效。方法选取2018年3月-2018年11月哈尔滨医科大学附属第四医院收治的60例PSD患者,随机分为对照组20例和研究组40例。对照组采用早期康复和脑卒中常规抗抑郁药物治疗。研究组在对照组基础上采用基于视觉刺激的图片疗法治疗1个月。其中,将研究组再次随机分为图片疗法15 min组和30 min组,每组20例。结果3组患者治疗前HAMD、mRS评分比较,差异无统计学意义(P>0.05)。3组患者治疗前后HAMD、mRS评分差值比较,差异有统计学意义(P<0.05)。图片疗法15 min组和30 min组治疗前后HAMD、mRS评分差值与对照组比较,差异有统计学意义(P<0.05);图片疗法30 min组与图片疗法15 min组治疗前后HAMD、mRS评分差值比较,差异有统计学意义(P<0.05)。结论在PSD患者早期康复和常规药物治疗的同时应用基于视觉刺激的图片疗法,有助于改善PSD症状及促进神经功能恢复,值得临床进一步推广。Objective To explore the efficacy of visual stimuli-based phototherapy for post-stroke depression(PSD)and neurological recovery.Methods From March 2018 to November 2018,60 patients with post-stroke depression in our hospital were selected.They were divided into 2 groups:20 patients in the control group,with early rehabilitation and conventional antidepressant medication for post-stroke depression,and 40 patients in the study group treated with visual stimulation-based phototherapy for 1 month on the basis of the control group.The study group was again randomly divided into a 15-minute group and 30-minute group for phototherapy,20 patients in each group.Results There were no significant differences in the Hamilton Depression Scale(Hamilton,HAMD)and Modified Rankin Scale(mRS)scores among the three groups before treatment(P>0.05).After 1 month of treatment,the HAMD and mRS scores of the three groups were lower than those before treatment,and the difference was statistically significant(P<0.05);the differences of HAMD and mRS scores before and after the treatment between the 15-minute group and the 30-minute group for phototherapy were statistically significant(P<0.05);the differences of HAMD and mRS scores before and after the treatment between the 15-minute group and the 30-minute group for phototherapy were not statistically significant(P<0.05).Conclusion For patients with post-stroke depression,the use of visual stimulation-based phototherapy therapy in early rehabilitation and conventional drug therapy improve the symptoms of post-stroke depression and promote the recovery of neurological function,which is worthy of further clinical promotion.

关 键 词：卒中 抑郁 色谱疗法 光刺激 治疗效果 

分 类 号：R543.1[医药卫生—心血管疾病]