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高压氧联合音乐疗法对动脉瘤性蛛网膜下腔出血患者脑功能及心理健康的影响:一项回顾性研究。

Effects of Hyperbaric Oxygen Therapy Combined with Music Therapy on Brain Function and Mental Health of Patients with Aneurismal Subarachnoid Hemorrhage: A Retrospective Study.

机构信息

Neurosurgery Department, Dingzhou People's Hospital, Dingzhou 073000, Hebei, China.

Nursing Department, Dingzhou People's Hospital, Dingzhou 073000, Hebei, China.

出版信息

Noise Health. 2024;26(122):259-265. doi: 10.4103/nah.nah_19_24. Epub 2024 Sep 30.

Abstract

BACKGROUND

Hyperbaric oxygen therapy (HBOT), which is widely used in clinical practice, is aimed at improving nerve function impairment after brain injury. Meanwhile, the effects of music therapy on brain function are unclear. This retrospective study was conducted to explore the application effect of HBOT combined with music therapy on patients suffering from aneurysmal subarachnoid hemorrhage (aSAH).

METHODS

For this retrospective study, 130 patients with aSAH after HBOT were selected from our hospital from June 2021 to June 2022. The patients were divided into the observation (n = 70) and control (n = 60) groups based on whether they received music therapy. Comparisons were made on general demographic data, blood flow rate in median cerebral artery (MCA), cerebral vasospasm (CVS), National Institutes of Health Stroke Scale (NIHSS), activities of daily living (ADL) score, Self-Rating Depressive Scale (SDS), and Self-Rating Anxiety Scale (SAS) of patients.

RESULTS

Baseline data between the two groups showed no statistically significant difference (P > 0.05). After management, patients in the observation group presented significantly lower SAS and SDS scores (P < 0.05), lower blood flow rate in MCA, CVS and NIHSS scores (P < 0.05), and higher ADL scores than the control group (P < 0.05).

CONCLUSIONS

The combination of HBOT and music therapy can considerably improve cerebral neurological deficits, slow down cerebral arterial blood flow, promote the recovery of postoperative cerebral function in aSAH patients, and improve anxiety and depression and the patients' ADL.

摘要

背景

高压氧治疗(HBOT)广泛应用于临床实践,旨在改善脑损伤后的神经功能障碍。与此同时,音乐疗法对脑功能的影响尚不清楚。本回顾性研究旨在探讨 HBOT 联合音乐疗法对蛛网膜下腔出血(aSAH)患者的应用效果。

方法

本回顾性研究选取 2021 年 6 月至 2022 年 6 月我院收治的 130 例 HBOT 后 aSAH 患者,根据是否接受音乐疗法将患者分为观察组(n=70)和对照组(n=60)。比较两组患者的一般人口统计学数据、大脑中动脉(MCA)血流速度、脑血管痉挛(CVS)、国立卫生研究院卒中量表(NIHSS)、日常生活活动(ADL)评分、抑郁自评量表(SDS)和焦虑自评量表(SAS)评分。

结果

两组患者的基线数据比较,差异无统计学意义(P>0.05)。治疗后,观察组患者的 SAS 和 SDS 评分明显较低(P<0.05),MCA 血流速度、CVS 和 NIHSS 评分较低(P<0.05),ADL 评分较高(P<0.05)。

结论

HBOT 联合音乐疗法可显著改善 aSAH 患者的脑神经功能缺损,减缓脑动脉血流速度,促进术后脑功能恢复,改善焦虑和抑郁状态,提高患者的 ADL。

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China stroke surveillance report 2021.中国卒中监测报告 2021。
Mil Med Res. 2023 Jul 19;10(1):33. doi: 10.1186/s40779-023-00463-x.

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