中医辨证护理在中风后抑郁症治疗中的应用研究  

Clinical observation on treating post stroke depression by cognitive nursing

作　　者：朱慧敏[1] 孙丽君[1] 

机构地区：[1]河南省人民医院,河南郑州450003

出　　处：《中医临床研究》2016年第5期121-123,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨中医辨证护理干预对脑卒中后抑郁症(PSD)患者神经和认知功能的影响。方法:将120例患者根据护理方法不同分为观察组(中医辨证护理)和对照组(常规护理),每组各60例。以4周为一个疗程。观察病人在中医辨证护理干预前后的HAMD、SDS、HAMA、Barthel。结果:治疗组中医辨证护理干预后平均HAMD、SDS和HAMA评分较治疗前和对照组均明显降低(P<0.05);两组患者的Barthel积分较中医辨证护理干预前有明显升高(P<0.05),但组间比较差异无统计学意义(P>0.05)。治疗组总有效率为90.0%,与对照组(78.3%)比较差异有显著性意义(P<0.05)。结论:中医辨证护理干预能明显改善PSD患者心理状态,改善其抑郁症状,促进患者神经和认知功能的尽早恢复,提高患者的生活质量。Objective： To investigate clinical efficacy of cognitive nursing on post stroke depression. Methods： 120 cases of post stroke depression were divided into the observation group（cognitive care） and the control group（usual care）, 60 cases in each. 1 course of theatment lasted for 4 weeks. Results： After treatment, HAMD, SDS and HAMA score in the treatment group were significantly lower than those in the control group and before treatment（P〈0.05）. Conclusion： Cognitive nursing intervention can significantly improve mental state in PSD patients, improve their depressive symptoms for early recovery.

关 键 词：中风后抑郁症 中医辨证护理 神经功能 

分 类 号：R749.4[医药卫生—神经病学与精神病学]