人本主义心理治疗对早期卒中后抑郁患者运动功能康复的影响

目的 研究人本主义心理治疗对早期卒中后抑郁患者神经功能康复的影响.方法 81例卒中后抑郁患者采用随机数字表法分为两组,分别为人本主义心理治疗联合舍曲林组(观察组)和舍曲林组(对照组)分别于治疗前,治疗4周末、12周末用汉密尔顿抑郁量表(HAMD)进行抑郁程度评定,用美国国立卫生院神经功能缺损量表(NIHSS)评定神经功能以及Barthel 指数评定日常生活质量.结果 在治疗4周末、12周末,两组对HAMD评分有明显的改善,12周末观察组优于对照组,差异有统计学意义(P<0.05);在治疗12周末NIHSS评分和Barthel 指数评分观察组优于对照组,差异均有统计学意义(P<0.05).结论 人本主义心理治疗对早期脑卒中后抑郁神经功能康复有明显的疗效,值得在临床推广.

Objective To compare the effects of the humanistic psychotherapy on the rehabilitation of neurologic function in patients with post-stroke depression in early stage. Methods 81 patients with post-stroke depression were divided into two groups by random number table method, respectively,humanistic psychotherapy combined sertraline group(treatment group)and sertraline group(control group).The Hamilton depression scale(HAMD),the National Institute of Health stroke scale(NIHSS)and the Barthel index were evaluated before and at 4w,12w after treatment. Results At 12w after treatment,the NIHSS score and Barthel index of treatment group were better than the control group(P<0.05).At 4w and 12w after treatment,the two groups showed significant improvement in the HAMD score(P<0.05). Conclusion Humanistic psychotherapy has obvious effect on the recovery of depression and neurologic function in early stage of stroke,and is worthy of clinical promotion.