音乐疗法联合氟西汀对脑卒中后患者抑郁及日常生活能力的影响  

Effects of music therapy combined with fluoxetine on depression and activities of daily living in patients with post-stroke depression

作　　者：吴媛媛 赵昭 WU Yuanyuan;ZHAO Zhao(Conservatory of Music,Weinan Normal University,Weinan 714099;Department of Rehabilitation Medicine,The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China)

机构地区：[1]渭南师范学院音乐学院,陕西渭南714009 [2]西安交通大学第一附属医院康复医学科,陕西西安710061

出　　处：《西安交通大学学报（医学版）》2022年第6期885-888,共4页Journal of Xi’an Jiaotong University（Medical Sciences）

基　　金：陕西省科技研究计划资助项目(No.2021KRM046)。

摘　　要：目的观察音乐疗法结合氟西汀对脑卒中后抑郁症患者抑郁及日常生活能力的影响。方法将112例脑卒中后抑郁症患者随机分为对照组和音乐治疗组,每组各56例,对照组口服氟西汀20 mg,1次/d,治疗组在口服氟西汀的基础上辅助音乐疗法,分别在治疗前后用汉密尔顿抑郁量表(HAMD)和巴塞尔指数(BI)评价患者的抑郁及日常生活能力。结果治疗4周后两组患者HAMD和BI评分较治疗前均改善,但音乐治疗组改善更明显,与对照组比较差异具有统计学意义(P<0.01)。结论音乐疗法联合氟西汀可以明显改善脑卒中后患者抑郁症状,提高日常生活能力,疗效优于单用氟西汀组。Objective To observe the clinical therapeutic effects of music therapy combined with fluoxetine on post stroke depression(PSD).Methods One hundred and twelve patients with PSD were randomly divided into control group(56 cases)and treatment group(56 cases).The control group took fluoxetine 20 mg/d,while the treatment group received music therapy additionally.Hamilton Depression Scale(HAMD)was used to evaluate depression level;Barthel Index(BI)was used to evaluate the subjects’daily living before and after treatment.Results After 4 weeks’treatment,the HAMD scores were decreased while BI scores were increased after music therapy in the treatment group compared with control group(P<0.01).Conclusion Fluoxetine combined with music therapy can improve depression symptoms and the capacity of daily activities of PSD patients.

关 键 词：脑卒中 抑郁 音乐疗法 生活能力 

分 类 号：R454[医药卫生—治疗学]