八段锦结合平衡训练干预卒中后抑郁价值分析

Analysis of the Value of Baduanjin Combined with Balance Training in Intervention of Poststroke Depression

目的探讨八段锦结合平衡训练干预对卒中后的抑郁影响。方法随机选取2019年12月—2021年12月桂林市人民医院收治的80例卒中患者作为研究对象。按照简单数字表法随机将研究对象分为对照组和观察组,各40例。对照组采用平衡训练,观察组在对照组的基础上练习八段锦,干预周期为3个月。比较两组患者的肢体运动功能、平衡功能、抑郁情况。结果与干预前比较,干预后两组患者Fugl-Meyer运动功能量表(Fugl-Meyer Assessment,FMA)评分(上肢)和FMA评分(下肢)均有所升高,观察组患者的上肢和下肢FMA评分(42.13±4.84)分、(24.34±3.63)分均高于对照组,差异有统计学意义(t=12.660、11.332,P均<0.05)。与干预前比较,干预1、2、3个月后,两组患者的Berg平衡量表(Berg Balance Scale,BBS)评分均逐渐升高,且观察组始终高于对照组,差异有统计学意义(P均<0.05)。与干预前比较,干预1、2、3个月后,两组患者的汉密尔顿抑郁量表(Hamilton Depressed Scale,HAMD)评分均逐渐降低,且观察组始终低于对照组,差异有统计学意义(P均<0.05)。结论八段锦结合平衡训练能够提高患者的肢体运动功能,改善患者的平衡功能,也减少了患者抑郁情况的发生。因此,八段锦结合平衡训练对于卒中患者预后的抑郁情况的改善发挥了尤为重要的作用。

Objective To explore the effect of Baduanjin combined with balance training intervention on poststroke depression.Methods 80 stroke patients admitted to Guilin People's Hospital from December 2019 to December 2021 were randomly selected as the research subjects.According to the simple numerical table method,the study subjects were randomly divided into a control group and an observation group,with 40 cases in each group.The control group received balance training,while the observation group practiced Baduanjin on the basis of the control group.The intervention cycle was three months.The limb motor function,balance function,and depression of the two groups were compared.Results Compared with pre-intervention,the Fugl Meyer Motor Function Assessment(FMA)scores(upper limb)and FMA scores(lower limb)of two groups of patients increased after intervention,the observation group had higher FMA scores(42.13±4.84)points and(24.34±3.63)points in upper and lower limbs compared to the control group,and the differences were statistically significant(t=12.660,11.332,both P<0.05).Compared with the pre-intervention period,the Berg Balance Scale(BBS)scores of two groups of patients gradually increased after 1,2,and 3 months of intervention,and the observation group remained higher than the control group,and the differences were statistically significant(all P<0.05).Compared with pre-intervention,the Hamilton Depressed Scale(HAMD)scores of both groups of patients gradually decreased after 1,2,and 3 months of intervention,and the observation group remained lower than the control group,and the differences were statistically significant(all P<0.05).Conclusion The combination of Baduanjin with balance training can improve the patients'limb motor function,improve the patients'balance function,and also reduce the occurrence of patients'depression.Therefore,the combination of Baduanjin and balance training plays a particularly important role in improving the prognosis of depression in stroke patients.