综合康复治疗对颅脑损伤后抑郁的疗效分析

目的探讨综合康复治疗对颅脑损伤后抑郁患者日常生活活动能力和抑郁心理的影响。方法80例颅脑损伤后抑郁患者随机分成康复组和对照组，每组40例，康复组采取常规药物治疗和综合康复治疗（运动疗法＋心理治疗），对照组仅采用常规药物治疗。在患者入选时、病程3个月时分别进行Barthel指数和HAMD评定。结果与对照组比较，康复组患者Barthel指数得分在疗程3月（P〈0．001）时显著提高。HAMD得分在疗程3个月时则明显降低（P〈0．001）。结论综合康复治疗能够有效改善颅脑损伤后抑郁患者的日常生活活动能力，减轻抑郁心理。

Effectiveness evaluation of rehabilitaion for depression in patients with traumatic brain injury

[Objective] To analyze the therapeutic effect of rehabilitaion intervention for depression in patients with traumatic brain injury.[Methods] Eighty depression in patients with traumatic brain injury were divided randomly into rehabilitaion group(n=40)and control group(n=40).Those in the rehabilitaion group were intervened with comprehensive rehabilitaion programs(mainly the exercise and psychotherapy),while those in the control group only the ordinary medical drugs.3 months later,therapeutic effect was assessed according to the recorded Barthel index and the HAMD scores,and comparison was carried out between the two groups.[Results] In comparison with the control group,the therapeutic effect was significantly better in the rehabilitaion group,as shown by significant increase of Barthel index scores at 3 months(P <0.001),and significant decrease of HAMD scores(P <0.001).[Conclusion] Depression in patients with traumatic brain injury can obviously be benefited from comprehensive rehabilitaion,as shown by the improved ADL abilities and lower level of depression.