中等强度有氧运动对轻中度卒中后抑郁老年病人的影响  

Effects of moderate intensity aerobic exercise on elderly patients with mild to moderate post-stroke depression

作　　者：过菁[1] 张丽霞 郑娟[1] 徐花 柴树娟[2] GUO Jing;ZHANG Lixia;ZHENG Juan;XU Hua;CHAI Shujuan(Department of Rehabilitation,Jiangsu Province Official Hospital,Nanjing 210024,China;Longjiang Outpatient Department,Jiangsu Province Official Hospital,Nanjing 210024,China)

机构地区：[1]江苏省省级机关医院康复科,江苏省南京市210024 [2]江苏省省级机关医院龙江门诊,江苏省南京市210024

出　　处：《实用老年医学》2025年第3期286-289,共4页Practical Geriatrics

基　　金：江苏省干部保健课题(BJ19028)。

摘　　要：目的探讨中等强度有氧运动对轻中度卒中后抑郁老年病人的影响。方法于2022年5月至2024年5月在江苏省省级机关医院康复科招募轻中度卒中后抑郁老年病人90例,采用Excel随机数表法,将90例卒中后抑郁老年病人以1∶1∶1的比例随机分为对照组(n=30)、药物组(n=30)和有氧运动组(n=30)。对照组接受常规康复训练,药物组接受抗抑郁药物艾司西酞普兰联合常规康复训练,有氧运动组接受有氧运动联合常规康复训练,共干预4周。比较3组干预前后汉密尔顿抑郁量表(HDRS-24)、抑郁自评量表(SDS)及Barthel指数变化。结果与干预前相比,有氧运动组干预后HDRS-24和SDS评分降低(P<0.05),Barthel指数升高(P<0.05)。干预后与对照组和药物组相比,有氧运动组HDRS-24和SDS评分降低(P<0.05),Barthel指数升高(P<0.05)。结论中等强度有氧运动可以有效改善轻中度卒中后抑郁老年病人抑郁症状,并且提高病人的生活质量。Objective To explore the effects of moderate intensity aerobic exercise on elderly patients with mild to moderate post-stroke depression.Methods From May 2022 to May 2024,90 elderly patients with post-stroke depression were recruited in Department of Rehabilitation of Jiangsu Province Official Hospital,and were randomly divided into control group(n=30),drug group(n=30)and aerobic exercise group(n=30)at a ratio of 1∶1∶1 by using Excel random number table method.The control group was given routine rehabilitation training,the drug group was given escitalopram combined with routine rehabilitation training,and the aerobic exercise group was given aerobic exercise combined with routine rehabilitation training.The intervention lasted for 4 weeks.Hamilton Depression Rating Scale(HDRS-24),Self-rating Depression Scale(SDS)and Barthel index were evaluated before and after the intervention.Results Compared with those before intervention,the scores of HDRS-24 and SDS in the aerobic exercise group were decreased after intervention(P<0.05),while Barthel index was increased(P<0.05).Compared with those in the control group and the drug group,the scores of HDRS-24 and SDS in the aerobic exercise group were decreased after intervention(P<0.05),and Barthel index was increased(P<0.05).Conclusions Moderate intensity aerobic exercise can effectively improve the depressive symptoms and improve the quality of life of the elderly patients with mild to moderate post-stroke depression.

关 键 词：有氧运动 卒中后抑郁 老年人 

分 类 号：R743.3[医药卫生—神经病学与精神病学]