Bobath运动对卒中后抑郁患者情绪及运动功能的影响

Effect of Bobath Exercise on Mood and Motor Function in Depressed Patients with Stroke

目的探讨波巴斯(Bobath)运动对卒中后抑郁患者情绪及运动功能的影响。方法将本院2021年1月~2023年1月共100例卒中后抑郁患者通过随机数字表法分为对照组与观察组两组,对照组采用常规治疗及心理干预,观察组在对照组基础上给予Bobath运动干预。比较干预前后Fugl-Meyer运动功能评定量表(FMA)、Barthel指数(BI)、汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)评估结果。结果干预后两组患者FMA评分、BI评分均较干预前显著升高,且干预后观察组两项评分均较对照组高(P<0.05);干预后两组患者HAMA评分、HAMD评分均较干预前显著降低,且干预后观察组两项评分均较对照组低(P<0.05)。结论Bobath运动不仅能提升卒中后抑郁患者运动功能,还能显著改善卒中后患者的焦虑、抑郁情绪。

Objective To investigate the effect of Bobath exercise on mood and motor function in depressed patients with stroke.Methods A total of 100 depressed patients with stroke from January 2021 to January 2023 in our hospital were divided into two groups,the control group and the observation group,by random number table method.The control group was treated with conventional treatment and psychological intervention,while the observation group was given Bobath exercise intervention on the basis of the control group.The Fugl-Meyer Motor Function Assessment Scale(FMA),Barthel Index(BI),Hamilton anxiety rating scale(HAMA)and Hamilton depression rating scale(HAMD)were compared before and after the intervention.Results FMA scores and BI scores were significantly higher in both groups after the intervention than before the intervention,and both scores were higher in the observation group(P<0.05).The HAMA score and HAMD score were significantly lower in both groups after the intervention,and both scores were lower in the observation group(P<0.05).Conclusion Bobath exercise not only improves motor function in depressed stroke patients,but also significantly improves stroke patients'anxiety and depression.