团体怀旧疗法联合重复经颅磁刺激对老年脑卒中后抑郁疗效观察  

Clinical Observation of Group Nostalgic Therapy Combined with Repetitive Transcranial Magnetic Stimulation in the Treatment of Post-stroke Depression in the Elderly

作　　者：王冬霞 邓丽[1] 陈秋萍 WANG Dongxia;DENG Li;CHEN Qiuping(Jiangmen Third People's Hospital,Second Department of the Elderly,Jiangmen,Guangdong 529000;Jiangmen Third People's Hospital,Outpatient Rehabilitation Department,Jiangmen,Guangdong 529000)

机构地区：[1]江门市第三人民医院老年二科,广东江门529000 [2]江门市第三人民医院门诊康复科,广东江门529000

出　　处：《智慧健康》2023年第32期57-61,共5页Smart Healthcare

基　　金：2021年度江门市医疗卫生科技计划项目《团体怀旧疗法联合重复经颅磁刺激对老年脑卒中后抑郁疗效观察》(项目编号:2021YL05031)。

摘　　要：目的探讨团体怀旧疗法联合重复经颅磁刺激在老年脑卒中后抑郁中的临床疗效。方法选择2021年2月—2023年2月江门市第三人民医院收治的80例老年脑卒中后抑郁患者为研究对象,并按照随机数字表法分为对照组和观察组,每组40例。对照组采用重复经颅刺激治疗,观察组实施怀旧疗法联合重复经颅磁刺激治疗,于0周、4周、8周评估治疗效果,比较两组有效率、简易精神状态量表(MMSE)评分、汉密尔顿抑郁量表(HAMD)及日常生活能力(ADL)量表评分。结果观察组治疗8周后有效率高于对照组,差异有统计学意义(P<0.05);两组干预8周MMSE各维度得分高于4周,差异有统计学意义(P<0.05);观察组干预4周、8周定向力、记忆力、注意力和计算力、回忆能力及语言能力得分高于对照组,差异有统计学意义(P<0.05);观察组干预4周、8周HAMD评分低于对照组,差异有统计学意义(P<0.05);ADL评分高于对照组,差异有统计学意义(P<0.05),两组8周HAMD评分低于4周(P<0.05);ADL评分高于4周,差异有统计学意义(P<0.05)。结论团体怀旧疗法联合重复经颅磁刺激能提高老年脑卒中后抑郁患者有效率,能改善患者认知水平,能减轻患者抑郁情绪,可提升患者日常生活能力,值得推广应用。Objective To explore the clinical efficacy of group nostalgia therapy combined with repetitive transcranial magnetic stimulation in elderly patients with post-stroke depression.Methods 80 elderly patients with post-stroke depression admitted to the Third People's Hospital of Jiangmen City from February 2021 to February 2023 were selected as subjects.They were randomly divided into two groups with 40 cases in each group.The control group received repeated transcranial stimulation therapy,while the observation group received nostalgic therapy combined with repeated transcranial magnetic stimulation therapy.The patient's effectiveness was evaluated at 0,4,and 8 weeks,and the two groups were compared in terms of efficacy,Mini Mental State Scale(MMSE)score,Hamilton Depression Scale(HAMD),and Daily Living Ability(ADL)score.Results After 8 weeks of treatment,the effective rate of the observation group was 95.00%higher than that of the control group(80.00%),with a statistically significant difference(P<0.05);The scores of all dimensions of MMSE in the two groups after 8 weeks of intervention were higher than those after 4 weeks,and the difference was statistically significant(P<0.05);The scores of directional ability,memory,attention and calculation ability,recall ability,and language ability in the observation group after 4 and 8 weeks of intervention were higher than those in the control group,and the difference was statistically significant(P<0.05);The HAMD scores of the observation group at 4 and 8 weeks of intervention were lower than those of the control group,with a statistically significant difference(P<0.05);The ADL score was higher than that of the control group,with a statistically significant difference(P<0.05).The HAMD score of the two groups at 8 weeks was lower than that at 4 weeks(P<0.05);The ADL score was higher than 4 weeks,and the difference was statistically significant(P<0.05).Conclusion The combination of group nostalgia therapy and repetitive transcranial magnetic stimulation can improve the effect

关 键 词：团体怀旧疗法 重复经颅磁刺激 老年脑卒中 抑郁 认知水平 日常生活能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R749.4[医药卫生—临床医学]