音乐治疗对脑卒中肩痛伴有情绪障碍患者临床疗效的观察

Effectiveness of music therapy for shoulder pain patients with anxiety and depression following stroke

目的:观察音乐治疗对脑卒中后肩痛伴情绪障碍患者的治疗效果,为探究脑卒中后肩痛伴情绪障碍患者的康复干预提供参考。方法:选择肩痛伴情绪障碍的脑卒中患者92例,随机分为常规组和观察组各46例。92例患者均给予常规药物治疗和康复治疗,观察组根据个体化原则联合音乐干预。干预前后对所有患者进行疼痛目测类比法(VAS),上肢Fugl-Meyer运动功能评定量表(FMA),汉密顿焦虑量表(HAMA),汉密顿抑郁量表(HAMD)评定。结果:治疗4周后,2组VAS、HAMA、HAMD评分均较治疗前明显降低(均P <0. 05),观察组更低于常规组(P<0. 05); 2组FMA评分均较治疗前明显提高(均P <0. 05),观察组更高于常规组(P <0. 05)。结论:音乐治疗不仅可明显减轻脑卒中后肩痛,还可提高患者的运动功能和改善患者的情绪。

Objective:To explore the effectiveness of music therapy for shoulder pain patients with anxiety and depression following stroke.Methods:Ninety-two patients following stroke with shoulder pain,anxiety and depression were randomly divided into two groups:routine rehabilitation therapy group(control group)and music therapy plus routine rehabilitation therapy group(experimental group).Single blind assessment was done using the VAS,FMA,HAMA and HAMD before and 4 weeks after treatment.Results:Before the intervention,the shoulder pain,motor ability of the upper limp,anxiety and depression in two groups showed no significant difference.After the intervention,the scores of VAS,HAMA and HAMD were significantly decreased,and those of FAM were significantly increased in both groups as compared with those before the intervention(all P<0.05),more significantly in the experimental group than in the control group(P<0.05).Conclusion:Music therapy can reduce shoulder pain,anxiety and depression as well as improve motor ability of the patients following stroke.