森田疗法在轻－中度急性缺血性卒中治疗中的应用研究  

Applied research of Morita Therapy on mild to moderate degree acute ischemic stroke

作　　者：杨俊[1] 张为良[1] 徐江涛[1] 郑俊[1] 宋永斌[1] 

机构地区：[1]兰州军区乌鲁木齐总医院神经内科,830000

出　　处：《神经疾病与精神卫生》2011年第5期449-451,共3页Journal of Neuroscience and Mental Health

摘　　要：目的探讨森田疗法对轻－中度急性缺血性卒中患者康复、住院时间、住院费用的影响。方法将NIHSS评分为〈15分的70例中度脑卒中患者随机分为两组，分别给予森田疗法与常规疗法联合治疗（心理干预组20例）和单用常规疗法治疗（未心理干预组50例）。比较两组患者入院时和出院前的NIHSS、mRS、BI、住院天数、住院费用上的差别。结果与常规治疗相比，对轻－中度急性缺血性卒中用森田疗法进行心理治疗可以使患者平均住院天数明显缩短[心理干预组：（10．5±2．7）d，未心理干预组：（15．4±2．1）d，（P〈0．05）]，平均住院费用降低[心理干预组：（14885．5±3687．5）元，未心理干预组：（22773．4±4221．7）元，（P〈0．05）】，而对△NIHSS、△mRS、△BI评分无明显影响。结论对脑卒中患者进行心理干预，可以缩短其住院时间、减少住院费用、促进康复。Objective To investigate the curative effects of Morita Therapy on mild to moderate degree acute ischemic stroke and the influence on recovery,hospitalization time and hospitalization expenses. Methods 70 acute ischemie stroke patients with NIHSS score less than 15,were randomly divided into two groups, Morita Therapy group and normal therapy group. Twenty patients from Morita Therapy group accepted mental intervention therapy according to the guidelines for practicing outpatient Morita Therapy on top of normal acute stroke therapy. 50 patients of normal group accepted normal acute stroke therapy only according to the Chinese acute ischemic stroke diagnosis and therapy guideline 2010. The score alteration of NIHSS,BI,MRS and hospitalization time and hospitalization expenses was used to evaluate the curative effects. Results Compared to the normal therapy group, hospitalization time of patients of Morita Therapy decreased obviously[（ 10.5±2.7） vs（15.4±2.1 ）, P〈0.05）1, while the hospitalization expenses decreased significantly as well[￥（14 885.5±3687.5）vs ￥ （22 773.4±4221.7）, P〈 0. 05]. The score alteration of NIHSS, BI, MRS didn＇t have significant difference. Conclusions Early mental intervention with Morita Therapy for acute ischemic stroke can shorten hospitalization time,decrease hospitalization expenses, facilitate recovery from illness.

关 键 词：森田疗法 卒中 心理干预 

分 类 号：R743.31[医药卫生—神经病学与精神病学]