康复训练联合心理干预治疗脑卒中后抑郁的对照研究  

Contrast study of rehabilitation training combined with psychotherapy on post-stroke depression

作　　者：甄君[1] 郑蓉[1] 周绍辉[2] 耿建红[1] 

机构地区：[1]中山大学附属第五医院康复医学科,珠海519000 [2]中山大学附属第五医院心理咨询科,珠海519000

出　　处：《中国实用医药》2011年第22期29-30,共2页China Practical Medicine

摘　　要：目的探讨康复训练联合心理干预治疗脑卒中后抑郁的临床疗效。方法 78例脑卒中后抑郁患者随机分为研究组和对照组各39例,对照组给予常规脑卒中药物治疗与康复训练,研究组在此基础上进行心理干预,观察8周。于治疗前与治疗第4周末、第8周末采用汉密尔顿抑郁量表(HAMD)、改良的Barthel指数(MBI)评定疗效。结果两组患者治疗前HAMD、MBI评分比较差异无统计学意义(P>0.05),治疗第4周末、第8周末,研究组的HAMD评分低于对照组,治疗第8周末的MBI评分高于对照组,差异有统计学意义(P<0.05)。结论康复训练联合心理干预能有效改善脑卒中后抑郁患者的抑郁症状,促进日常生活能力的恢复。Objective To observe the efficacy of rehabilitation training combined with psychotherapy on post-stroke depression.Methods 78 patients with post-stroke depression were randomly divided into research and control group（each n=39）,both groups were treated with routine medicine and rehabilitation,while research group was treated with psychotherapy for 8 weeks.Effects were assessed by the Hamilton Depression Scale（HAMD） and the modified Barthel Index（MBI） before treatment and at the end of the 4th,and 8th week treatment in two groups.Results There were no significant different in HAMD and MBI between two groups before treatment（P0.05）.At the end of the 4th,and 8th week treatment in research group the assessment of HAMD was reduced remarkably than control group,and at the end of the 8th week treatment MBI improved more than control group,the differences were significant（P0.05）.Conclusion Rehabilitation training combined with psychotherapy can effectively improve symptoms of post-stroke depression,promote the recovery of activities of daily living in patients with post-stroke depression.

关 键 词：卒中后抑郁 康复 心理治疗 

分 类 号：R749.1[医药卫生—神经病学与精神病学]