智谋干预与dTMS对卒中伴抑郁患者康复结局的影响

Effect of resourceful intervention and deep transcranial magnetic stimulation on rehabilitation outcomes of stroke patients with depression

目的:探讨智谋干预与深部经颅磁刺激(dTMS)对卒中伴抑郁患者康复结局的影响。方法:112例卒中伴抑郁患者随机分为对照组、智谋组、dTMS组、联合组,分别给予艾司西酞普兰治疗、智谋干预、dTMS治疗、智谋联合dTMS治疗。评估干预前后4组患者抑郁、功能恢复情况。结果:干预4周后联合组抑郁维度、功能维度指标改善均优于其他3组(P<0.05)。结论:智谋干预与dTMS都能有效改善脑卒中患者抑郁程度,并且能促进患者功能障碍恢复,同时二者具有协同互补作用,联合治疗更有益于患者康复结局。

Objective:To investigate the effects of resourceful intervention and deep transcranial magnetic stimulation(dTMS)on the rehabilitation outcomes of stroke patients with depression.Methods:112 stroke patients with depression were randomly divided into control group,smart group,dTMS group and combined group,and were given escitalopram treatment,smart intervention,dTMS treatment and smart combined dTMS treatment respectively.The depression and functional recovery of 4 groups were evaluated before and after intervention.Results:After 4 weeks of intervention,the depression dimension and functional dimension indexes of the combined group were improved better than those of the other 3 groups(P<0.05).Conclusion:Both intelligent intervention and dTMS can effectively improve the degree of depression in stroke patients,and promote the recovery of functional dysfunction in patients.At the same time,the two have a synergistic effect,and the combined treatment is more beneficial to the rehabilitation outcome of patients.