早期心理干预对急性脑梗死患者预后的影响

Effect of Early Psychotherapy on Prognosis of Acute Cerebral Infarction

目的:探讨早期心理干预对急性脑梗死患者预后的影响。方法:将符合要求的164例急性脑梗死患者随机分成治疗组和对照组,每组各82例。两组患者均给予常规如改善脑循环、抗血小板聚集、调脂、脑保护、康复等治疗,治疗组在此基础上对患者进行早期心理干预。所有患者于治疗前、治疗后的14、28 d进行神经功能缺损和日常生活活动能力评分,比较两组间是否存在差异。结果:治疗前两组间神经功能缺损和日常生活活动能力评分比较差异无统计学意义(P>0.05);治疗后14、28 d治疗组神经功能缺损评分低于对照组,日常生活活动能力评分高于对照组,比较差异有统计学意义(P<0.05)。结论:早期心理干预对急性脑梗死患者神经功能缺损的康复及日常生活活动能力的提高具有良好的效果,能显著改善急性脑梗死患者的预后。

Objective：To probe into the effect of early psychotherapy on prognosis of acute cerebral infarction. Method：164 patients with cerebral farction were randomly divided into two groups.In the treatment group（n=82）,the patients were given early psychotherapy.Conventional treatment for patients of both groups was the same.The levels of the neurologicimpairment scores and Barthel index were noted down before the treatment and on 14 d and 28 d after the treatment.Result：There were no significant differences between levels of the neurologicimpairment scores and Barthel index of the two groups before the treatment（P＆gt;0.05）.The neurologic impairment score of the treatment group was significantly lower than that of the control group on 14 d and 28 d after the treatment（P〈0.05）.The level of Barthel index of the treatment group was significantly higher than that of the control group on 7 d and 14 d after the treatment（P〈0.05）. Conclusion：The early psychotherapy is effective to fasten the comeback of neurologicimpairment and improve activities of daily living and can improve significantly prognosis of acute cerebral infarction.