心理干预综合传统针刺治疗对情绪障碍中风患者康复的影响

The Influence on Recovery of Stroke Patients with Emotional Disorder Treated by Psychotherapy and Acupuncture

目的:观察传统针刺配合心理干预治疗中风情绪障碍的临床效果。方法:根据抑郁自评量表(SDS)和焦虑自评量表(SAS),将符合条件的40例中风情绪障碍的患者按照就诊顺序随机分为2组,2组患者均先按内科常规治疗。根据Barthel指数评定表判断日常生活活动(ADL)能力,认定功能缺陷程度,治疗组采取传统针刺配合心理干预的治疗方法,对照组采取传统针刺的治疗方法。结果:治疗结束时,2组患者功能缺陷程度治疗效果比较有统计学意义(P<0.05),治疗组的临床效果明显优于对照组。结论:在中风情绪障碍患者的治疗中针刺配合心理干预可以提高治疗效果,降低致残率,促进患者尽早回归社会和家庭。

Objective： To observe the clinical effect of the therapy of mental intervention and acupuncture for the stroke patients with dysthymic disorder. Methods： After assessing SDS and SAS,40 stroke patients with dysthymic disorder who met the criteria were selected and randomly divided to two groups,all were given conventional treatment first. On the basis of evaluation form of Barthel which aimed to judge the ability of ADL,the degrees of functional defects were affirmed. Patients in the treatment group were given mental intervention and acupuncture,and patients in the control group were treated by acupuncture. Results： After the treatment,there was significant difference of therapeutic effect between two groups on the degree of improving functional defects（ P〈0. 05）,and the treatment group showed better results. Conclusion： Mental intervention and acupuncture treating stroke patients with dysthymic disorder could increase the treatment effect,reduce the disability ratio,and bring patients back to their family and the society.