CAJ | 학술논문

目的探讨经颅微电流刺激治疗(CES)联合心理干预对脑梗死后抑郁的影响.方法采用随机数字表法将80例脑梗死后抑郁患者分为治疗组和对照组,每组40例.2组患者均给予常规康复训练和心理干预,治疗组在此基础上辅以CES.治疗前、治疗4周后,采用汉密尔顿抑郁量表(HAMD)、简易精神状态量表(MMSE)及Barthel指数(BI)评分对2组患者进行疗效评定.结果治疗前,2组患者HAMD、MMSE及BI评分之间比较,差异无统计学意义(P＞0.05).治疗4周后,2组患者HAMD、MMSE及BI评分均较组内治疗前改善,且治疗组HAMD[(11.91 ±4.34)分]、MMSE[(25.54±1.49)分]及BI评分[(65.19±5.28)分]优于对照组HAMD[(14.76±3.43)分]、MMSE[(22.79±1.38)分]及BI评分[(60.88±6.67)分],差异有统计学意义(P＜0.05).治疗4周后,治疗组总显效率(70.0％)高于对照组总显效率(37.5％),差异有统计学意义(P＜0.05).结论 CES联合心理干预能明显改善脑梗死后抑郁患者的抑郁症状及认知功能,对提高患者日常生活活动(ADL)能力具有重要作用.
목적 탐토경로미전류자격치료(CES)연합심리간예대뇌경사후억욱적영향.방법 채용수궤수자표법장80례뇌경사후억욱환자분위치료조화대조조,매조40례.2조환자균급여상규강복훈련화심리간예,치료조재차기출상보이CES.치료전、치료4주후,채용한밀이돈억욱량표(HAMD)、간역정신상태량표(MMSE)급Barthel지수(BI)평분대2조환자진행료효평정.결과 치료전,2조환자HAMD、MMSE급BI평분지간비교,차이무통계학의의(P＞0.05).치료4주후,2조환자HAMD、MMSE급BI평분균교조내치료전개선,차치료조HAMD[(11.91 ±4.34)분]、MMSE[(25.54±1.49)분]급BI평분[(65.19±5.28)분]우우대조조HAMD[(14.76±3.43)분]、MMSE[(22.79±1.38)분]급BI평분[(60.88±6.67)분],차이유통계학의의(P＜0.05).치료4주후,치료조총현효솔(70.0％)고우대조조총현효솔(37.5％),차이유통계학의의(P＜0.05).결론 CES연합심리간예능명현개선뇌경사후억욱환자적억욱증상급인지공능,대제고환자일상생활활동(ADL)능력구유중요작용.
Objective To evaluate the effects of cranial electrotherapy stimulation therapy combined with psychological intervention for treating depression after cerebral infarction.Methods Eighty persons diagnosed with depression after cerebral infarction were divided randomly into a treatment group and a control group.Both groups were given routine rehabilitation training and psychological intervention, but the treatment group also received microcurrent transcranial electrical stimulation treatment.All the patients were evaluated with Hamilton's depression scale (HAMD) and the mini-mental state exam (MMSE) and given Barthel index (BI) scores before and after 4 weeks of treatment.Results There was no significant difference between the 2 groups in terms of any of the measures before treatment.After 4 weeks of treatment, both groups had improved significantly, but the improvements on all measures were significantly better in the treatment group.Conclusion Cranial electrotherapy combined with psychological intervention can significantly improve symptoms of depression and cognitive function in patients with post-stroke depression, and play an important role in improving their daily life.