心理治疗对脑卒中后抑郁及肢体功能恢复的影响  

Psychological therapy on depression after cerebral apoplexy and the limb function recovered

作　　者：韩淑艳[1] 刘艳[1] 宋梅英[1] 苏军 

机构地区：[1]北华大学附属医院,吉林吉林132011 [2]中西医结合脑血管病研究所

出　　处：《中国民康医学》2009年第22期2798-2798,2823,共2页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨心理治疗对脑卒中患者抑郁程度及肢体功能的影响。方法:100例脑卒中合并抑郁的肢体瘫痪患随机分为观察组和对照组,在相同药物治疗和肢体康复训练的基础上,观察组给予心理治疗。用肌力分级法和汉密尔顿抑郁量表(HAMD)评价患者入院时和2周后的肌力和抑郁评分。结果:观察组的HAMD评分(21.35±2.84)分显著低于对照组的(24.57±2.56)分(P<0.05);上肢和下肢肌力改善亦优于对照组(P<0.05)。结论:心理治疗在减轻抑郁的同时也使肢体功能有显著提高。Objective： Exploring influence of psychological therapy for patient＇s depression and motor function.Methods 100 cases of patients with cerebal stroke acompanied by posted--stroke depression, were divided to two groups, observing group, and control group, former group patients were given psychological thertapy. All of objects are evaluated by muscle force and HAMD for depressive degreetment respectively at admitting and after two weeks. Results： The HAM D scores of observing group had a significant reduction than control group. The musel force in observing inereaded than control group. Conclusion： Physical therapy of hemiplegia limb can enhance limb function and and release deprssive degreetment.

关 键 词：心理治疗 脑卒中 抑郁 肢体功能 

分 类 号：R395.5[哲学宗教—心理学]