八段锦对脑外伤康复期患者认知功能和负性情绪的疗效

Effect of Baduanjin on Cognition and Mood Disorders for Patients Recovering from Traumatic Brain Injury

目的探讨八段锦对脑外伤康复期患者认知功能和焦虑、抑郁情绪的影响。方法2018年1月至7月,脑外伤康复期患者64例分为对照组和试验组,最终对照组31例、试验组29例纳入试验。试验组进行八段锦锻炼,对照组不进行任何规律性运动锻炼。试验前以及干预后6周、12周和24周采用洛文斯顿作业疗法认知评定(LOTCA)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)进行评定。结果干预后,试验组HAMA、HAMD评分均显著下降(P<0.001),且低于对照组(P<0.05),对照组评分无显著性差异(P>0.05)。干预12周后,试验组LOTCA定向、空间知觉、视运动组织时间评分升高(P<0.05),且高于对照组(P<0.05);干预24周后,试验组LOTCA各维度评分和总分均显著提高(P<0.05),且高于对照组(P<0.05)。LOTCA总分与HAMA、HAMD评分负相关(P<0.05)。结论规律性八段锦锻炼可明显改善脑外伤患者认知功能和负性情绪。

Objective To explore the effects of Baduanjin on cognitive function,anxiety and depression in patients in recovery stage after traumatic brain injury. Methods From January to July,2018,64 patients in recovery stage after traumatic brain injury were included.Finally, there were 31 patients in control group and 29 in experimental group.The experimental group received Baduanjin exercise,while the control group did not receive any regular exercise.They were assessed with Loewenstein Occupational Therapy Cognitive Assessment (LOTCA),Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) before intervention,and six weeks,twelve weeks and 24 weeks after intervention. Results The scores of HAMA and HAMD decreased in the experimental group after intervention (P < 0.05),but there was no significance in the control group (P > 0.05).The scores of orientation,visual and spatial perception,and visuomotor organization increased in the experimental group twelve weeks after intervention (P < 0.05),but there was no significance in the control group (P > 0.05).The scores of all the areas of LOTCA and total scores increased in the experimental group 24 weeks after intervention (P < 0.05),but there was no significance in the con‐ trol group (P > 0.05).LOTCA total scores negtively correlated with HAMA and HAMD scores (P < 0.05). Conclusion Regular Baduanjin exercise can improve the cognition and mood of patients after traumatic brain injury.