音乐健身行走对脑卒中后抑郁障碍患者康复的影响

Influences of music fitness walking on rehabilitation of post-stroke depression patient

目的 探讨音乐健身行走对脑卒中后抑郁障碍患者临床康复的影响.方法 将24例脑卒中后抑郁障碍患者随机分为两组,均维持脑卒中治疗方案不变,研究组联合音乐健身行走,对照组联合抗抑郁剂治疗.观察8周.治疗后以临床症状缓解程度及汉密顿抑郁量表总分减分率判定临床疗效,副反应量表评定不良反应.结果 研究组总有效率为83.3％,对照组为75.0％,两组比较差异无显著性（P＞0.05）.研究组不良反应主要表现为疲乏、口干,对照组主要表现为恶心、头晕、食欲减退、心悸、便秘.结论 音乐健身行走治疗脑卒中后抑郁障碍临床疗效确切,方法简便,安全性高.

Objective To explore the influences of music fitness walking on rehabilitation of post-stroke depression patient. Methods Twenty-four post-stroke depression patients were randomly assigned to two groups maintaining stroke treatment, research group was plus music fitness walking, and control group plus antidepressants for 8 weeks. After treatment efficacies were assessed according to symptomatic relief degrees and the total score of the Hamilton Depression Scale （HAMD） and adverse reactions with the Treatment Emergent Symptom Scale （TESS）. Results Total effective rate was respectively 83.3% in research and 75.0% in control group, which showed no significant difference （P〉0.05）. Main adverse reactions were fatigue and dry mouth in research and nausea, dizziness, anorexia, palpitation and constipation in control group. Conclusion Music fitness walking has a precise effect, is convenient and has higher safety for post-stroke depression.