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目的探讨心理康复治疗在脑卒中后抑郁患者中的应用效果。方法对2008年2月～2012年2月期间在我院神经内科进行治疗的92例脑卒中后抑郁患者的临床资料进行回顾性研究。我们将这92例患者随机分为对照组和实验组,每组各有46例患者。其中,对照组患者进行神经内科常规治疗,实验组患者在进行神经内科常规治疗的基础上,加用心理康复治疗。我们分别于治疗前及治疗4周后对两组患者进行自编问卷调查和汉密尔顿抑郁量表(HAMD)调查,同时对这两组患者的运动功能(FMA)评分和生活能力(MBI)评分进行比较。结果经过4周的治疗,实验组患者汉密尔顿抑郁量表的评分明显低于对照组患者,二者相比差异具有显著性(P<0.05)。经过4周的治疗,实验组患者运动功能的评分和生活能力的评分明均显高于对照组患者,二者相比差异具有显著性(P<0.05)。结论用心理康复疗法治疗由脑卒中引起的抑郁症疗效显著,可有效地改善患者的运动能力和生活能力,缓解患者的抑郁情绪,提高患者的生活质量。
Objective To investigate the effect of psychological rehabilitation therapy in patients with post-stroke depression. Methods A retrospective study was conducted on the clinical data of 92 post-stroke depression patients who were treated in Department of Neurology in our hospital from February 2008 to February 2012. We randomly divided the 92 patients into control and experimental groups, each with 46 patients in each group. Among them, patients in the control group were treated routinely in neurology. Patients in the experimental group were treated with psychotherapy based on the routine treatment of neurology. We conducted a self-designed questionnaire and Hamilton Depression Rating Scale (HAMD) survey before treatment and after 4 weeks of treatment, respectively, and performed motor function (FMA) and viability (MBI) scores in both groups Compare Results After 4 weeks of treatment, the scores of Hamilton Depression Scale in the experimental group were significantly lower than those in the control group, the difference was significant (P <0.05). After 4 weeks’ treatment, the scores of motor function and living ability in the experimental group were significantly higher than those in the control group, the difference was significant (P <0.05). Conclusion Treatment of depression caused by stroke with psychotherapy is significant, which can effectively improve the patients’ motor ability and life ability, alleviate the depression and improve the quality of life of patients.