心理干预对急性脑卒中后抑郁患者康复疗效的影响

The effect of psychological intervention on the patients with acute post - stroke depression

目的探讨心理干预对脑卒中后抑郁患者康复疗效的影响。方法采用随机对照的方法。选择住院的脑卒中后抑郁患者，对照组50例，人院后给予常规的药物及相应的物理康复治疗，治疗组50例，在对照组治疗的基础上，给予针对性的心理干预。对比两组患者的HAND评分，Fugl—meyer值及Barthel指数。结果发病第5天两组HAMD评分，Fugl—meyer值及Barthd指数差异无统计学意义（P〉0．05）；发病30d和60d后，治疗组Fugl—meyer值、Barthd指数积分均明显高于对照组，且HAMD评分低于对照组，均具有显著性差异（P〈0．01）。结论心理干预可明显改善或消除脑卒中患者的抑郁情绪，有利于患者在健康的心理状态下接受治疗，且操作方便，为治疗脑卒中后抑郁的较好方法。

Objective To investigate the effect of psychological intervention on rehabilitation of acute post - stroke depression patients. Methods 100 post - stroke depression were randomly divided into control and treatment groups, each group SO cases. All the patients were treated with routine medicine and physical rehabilitation, and treatment group was received psychological intervention besides routine therapy. Hamilton depression scale, Fugl - Meyer and Barthel index of two groups were analyzed. Results Hamilton depression scale, Fugl - Meyer and Barthel index of two groups were different after treatment. Conclusions Psychological intervenetion were benefit to rehabilitation of post - stroke depression.