脑卒中后抑郁障碍的中医心理学干预  

Observation on TCM Mental Intervention to Patients with Post Cerebral Stroke

作　　者：宋俊兰[1] 梅松柳[2] 

机构地区：[1]牡丹江医学院红旗医院检验科,牡丹江157000 [2]牡丹江医学院红旗医院急诊科,牡丹江157000

出　　处：《国际中医中药杂志》2009年第4期354-355,共2页International Journal of Traditional Chinese Medicine

摘　　要：目的探讨运用中医心理干预方法对脑卒中后抑郁障碍（post stroke depression，PSD）患者日常生活运动能力（activity of daily living scale，ADL）恢复的效果。方法将64例经汉密顿抑郁量表（hamilton depression scale，HAMD）评分为轻、中度的抑郁障碍的脑卒中患者随机分为干预组和对照组，两组均采用相同临床的治疗和康复，干预组在此基础上给予中医心理干预，并分别于干预前和干预后40d、70d、100d采用HAMD和ADL量表对疗效进行康复评价。结果在干预前两组患者HAMD及ADL评分差异无统计学意义（P〉0．05），干预后40d、70d和100d两组HAMD及ADL评分，干预组优于对照组，具有统计学意义（P〈0．05）。结论对脑卒中后抑郁障碍患者应尽早采取中医心理干预治疗，可明显促进脑卒中患者运动功能，干预组ADL能力恢复和抑郁状态优于对照组。Objective To study the effect of TCM mental intervention on activity of daily living scale （ADL） of patients with post stroke depression （PSD）. Methods A total of 64 patients with mild or medium depression scored by Hamilton depression scale were randomly recruited into a control group and a treatment group. Both groups received the same clinical therapies and habilitation, besides the treatment group was intervened with TCM mental therapy. HAMD and ADL scales were used to evaluate the condition of rehabilitation at 40 days ,70days and 100days of the treatment. Results There was not statistical significance between the two groups in terms of HAMD and ADL scale before the treatment（P〉0.05）. The treatment group showed significantly better results than the control group at 40 days ,70days and 100days of the treatment （P 〈0.05） . Coadusion The patients of PSD should be performed with TCM mental intervention as early as possible to improve the patient＇s mobility.

关 键 词：脑卒中 抑郁障碍 中医心理干预 康复 

分 类 号：R277[医药卫生—中医学]