百适可联合心理治疗对脑卒中患者心理健康和生活质量的影响  

Effects of Baishike Treatment Combined with Psychotherapy on Psychological Health and Quality of Life for Patients with Stroke

作　　者：李润霞 张峥 刘艳清 张欣[4] LI Runxia;ZHANG Zheng;LIU Yanqing;ZHANG Xin(Department of Psychiatry,Zhangjiakou Shalingzi Hospital,Zhangjiakou 075131,Hebei,China;Functional Division,Zhangjiakou Shalingzi Hospital,Zhangjiakou 075131,Hebei,China;Internal Medicine,Zhangjiakou Kangbao County People's Hospital,Zhangjiakou 076650,Hebei,China;Department of Geriatrics,the 6th People's Hospital of Hebei Province,Baoding 071000,Hebei,China)

机构地区：[1]张家口市沙岭子医院精神科,河北张家口075131 [2]张家口市沙岭子医院功能科,河北张家口075131 [3]康保县人民医院内科,河北张家口076650 [4]河北省第六人民医院老年科,河北保定071000

出　　处：《贵州医科大学学报》2020年第12期1479-1483,共5页Journal of Guizhou Medical University

基　　金：河北省医学科学研究重点课题计划项目(ZD201400461);张家口市科技计划项目(1821098D)。

摘　　要：目的:探讨百适可联合心理治疗对脑卒中患者心理健康及生活质量的影响。方法:90例脑卒中患者均分为对照组和观察组,对照组口服百适可治疗,观察组在对照组治疗的基础上加用心理治疗,2个月为一个疗程;比较2组患者治疗2个月时的有效率,比较治疗前后2组患血清纤维蛋白原(FIB)和D-D二聚体水平及汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、生活质量(WHOQOL-BREF量表)评分。结果:治疗前,2组患者的FIB和D-D二聚体水平、HAMD和HAMA及生活质量评分比较,差异无统计学意义(P>0.05);治疗后,2组患者的FIB水平较治疗前升高、D-D二聚体水平、HAMD、HAMA及WHOQOL-BREF量表评分均较治疗前升高,差异有统计学意义(P<0.05),且观察组变化更加明显,与对照组比较差异有统计学意义(P<0.05);治疗2个月时,观察组患者的治疗有效率(95.56%)高于对照组(77.78%),2组比较差异有统计学意义(P<0.05);结论:采用百适可联合心理治疗方案治疗脑卒中患者,可改善患者的心理状态,提高患者的生活质量水平。Objective:To investigate the clinical efficacy of the combination of baishike and psychotherapy treatment on mental health and quality of life for patients with cerebral apoplexy.Methods:90 patients with stroke were randomly divided into control group and observation group in equal number.Control group was treated with baishike alone,the observation group received baishike combined with psychotherapy.2 months as a whole course of treatment.Effective rate of both groups after 2 months of treatment were compared concerning following values:FIB,D-D dimer level,and HAMD,HAMA,and WHOQOL-BREF score.Results:Before treatment,comparison of FIB,D-D dimer level and HAMD,HAMA,and WHOQOL-BREF score of both groups showed no statistical significance(P>0.05).After treatment,both groups showed increased FIB level,D-D dimer level,and scores of HAMD,HAMA,and WHOQOL-BREF were all improved compared with before treatment,difference was statistically significant(P<0.05).Observation group showed more obvious changes,and differences between such changes and control group were statistically significant(P<0.05).After two months treatment,effective rate of observation group(95.56%)was higher than control group(77.78%),differences were statistically significant(P<0.05).Conclusion:The treatment of baishike combined with psychotherapy can significantly improve the mental status of patients and improve their quality of life.

关 键 词：卒中 治疗结果 生活质量 百适可 心理治疗 心理健康 

分 类 号：R749.5[医药卫生—神经病学与精神病学] R743.3[医药卫生—临床医学]