认知行为疗法对伴有抑郁症状的脑卒中患者治疗的作用

Study on the therapeutic effects Of cognitive and behavioral therapies on post-stroke depression

目的 脑卒中病人最常见的心理情绪变化是抑郁和焦虑。本文评价认知行为疗法对伴有抑郁症状的脑卒中患者治疗的作用。方法 对60例患者以性别、年龄、诊断相匹配的方法分为两组,对照组28例接受药物治疗,联合组32例接受药物同时合并认知行为疗法治疗。结果 治疗后联合组抑郁量表(HAMD)评分较对照组明显降低(P<0.01),联合组临床疗效明显优于对照组(P<0.01)。结论 采用药物联合认知行为疗法比单独使用药物治疗脑卒中患者疗效明显。尽早了解和评估脑卒中病人的心理情绪,而且进行早期的认知行为心理治疗和药物治疗,能促进脑卒中患者功能的恢复。

objective Cerebral stroke does not only cause the physical function disorder of the patients, but also leads to a series of psychiatric change of the patients. To study the therapeutic effects of cognitive behavioral therapy (CBT) on post-stroke depression. Methods 60 patients with the cerebral stroke were divided into experimental and conventional groups according to the principle of match sex, age, and diagnosis. The control group(28 cases)were treated with conventional medicine therapy. In addition to conventional medicine therapy, the experimental group(32 cases) were treated with combination CBT at the same time. Results The experimental group got significantly fewer scores in HAMD than the control group(P<0.01)and its curative effect in terms of symptoms,Movement dysfunction of hemiplegics limbs were superior to the control group after treatment (KO. 01). Conclusion Combination CBT with medicine is more effective than with medicine alone, especially for the cerebral stroke patients. It is very important to discover and evaluate the abnormal motion of the stroke patients as early as possible, so that a proper treatment can be given.