认知情绪治疗对脑卒中抑郁患者功能预后的影响

目的探讨认知心理治疗对脑卒中抑郁患者功能预后的影响。方法经汉密尔顿抑郁量表（HAMD-17）筛选出伴抑郁症状的80例脑卒中患者，随机分为治疗组和对照组，各40例，均予神经内科常规治疗，治疗组在此基础上给予认知心理治疗，1个月及6个月后再对两组患者进行HAMD-17和神经功能缺损评分并比较。结果治疗后，两组患者的神经功能均有恢复，但治疗组的HAMD-17评分明显低于对照组（P〈0．01），疗效明显优于对照组（P〈0．01）。结论认知治疗可改善脑卒中抑郁患者的功能预后。

Effect of Cognitive Emotion Therapy on the Prognosis of Stroke Patients with Depression

ObjectiveTo investigate the effect of cognitive therapy on the prognosis of the stroke patients with depression.Methods80 stroke patients with depression diagnosed according to Hamilton Depression Scale-17 (HAMD-17) were randomly divided into the treatment group and control group with 40 cases in each group. All patients of two groups were treated with routine therapy, but those of the treatment group were added with the cognitive therapy. All patients were re-evaluated one month and six months later.ResultsAfter treatment, the neurological function of all patients improved, but the scores of HAMD-17 of the patients in the treatment group were significantly lower than that of the control group ( P<0.01), and the effect of the treatment group was significantly superior to the control group ( P<0.01).ConclusionThe cognitive therapy may improve the prognosis of the stroke patients with depression.