心理治疗对汉族人缺血性卒中后抑郁的疗效观察

Effects of psychological intervention in the treatment of ischemic post-stroke depression in the Han nationality

目的:观察心理治疗对汉族人缺血性卒中后抑郁的效果。方法:2018年6月-2020年5月收治汉族人缺血性卒中后抑郁患者65例,随机分为两组。对照组给予常规脑血管病治疗和艾司西酞普兰抗抑郁治疗;试验组在对照组基础上给予心理治疗。比较两组汉密尔顿抑郁量表(HAMD)、焦虑量表(HAMA)及改良Rankin量表(mRS)评分。结果:试验组治疗后6周和12周HAMD、HAMA及mRS评分低于对照组,差异有统计学意义(P<0.05);试验组治疗12周后痊愈率和显效率高于对照组,差异有统计学意义(P<0.05)。结论:心理治疗联合抗抑郁药物相对于单一药物,对汉族人缺血性卒中后抑郁的疗效显著,可有效缓解患者情感障碍,提高脑卒中预后效果。

Objective:To observe the therapeutic effects of psychological intervention in the treatment of depression in the Han nationality after ischemic stroke.Methods:From June 2018 to May 2020,65 Han patients with post-ischemic stroke depression were selected,they were randomly divided into the two groups.The control group was given conventional cerebrovascular disease treatment and escitalopram antidepressant treatment.The experimental group was given psychotherapy on the basis of the control group.The Hamilton depression scale(HAMD),anxiety scale(HAMA)and modified Rankin scale(mRS)scores were compared between the two groups.Results:The scores of HAMD,HAMA and mRS in the experimental group were significantly lower than those in the control group at 6 and 12 weeks after treatment,the difference was statistically significant(P<0.05).The recovery rate and marked efficiency of the experimental group after 12 weeks of treatment were significantly higher than those in the control group,the difference is statistically significant(P<0.05).Conclusion:Compared with a single drug,psychotherapy combined with antidepressants has a significant effect on post-ischemic stroke depression in Han people.It can effectively alleviate the emotional disorder of patients and improve the prognosis of stroke.