卒中后失语患者心理障碍影响因素及情欲顺势心理治疗

目的 探讨脑卒中后失语患者心理障碍的影响因素,并研究情欲顺势心理治疗对失语患者的临床效果.方法 选取2008月8月--2012年8月来我院住院治疗的83例脑卒中后失语症患者作为研究对象,随机分为观察组和对照组,对照组进行常规心理护理干预,观察组加用情欲顺势心理治疗,对比两组治疗后的GSI得分及临床疗效.选取同期来我院治疗的脑卒中无失语患者60例（无失语组）作为对比分析,研究影响失语患者心理障碍的影响因素.结果 失语症患者心理障碍主要表现为抑郁、焦虑、敌对、恐惧、偏执等,其中抑郁和焦虑情绪观察组比无失语组患者更为严重,两组差异具有统计学（t=2.858,2.909；P＜0.05）；其中脑部双侧病变发生心理障碍的严重程度最高.治疗后观察组总有效率为94.0％,对照组为81.7％,观察组明显高于对照组,两组相比差异具有统计学意义（x2=8.171,P＜0.05）,治疗8周后观察组GSI得分明显低于对照组,两组间差异具有统计学意义（t=6.898,P＜0.05）.结论 脑卒中后失语患者更容易出现心理障碍,发生心理障碍的机制与病变部位有关；通过情欲顺势心理治疗可以改善患者的心理状态,提高患者的生活质量.

Influencing Factors of Psychological Disorders of Patients with Aphasia after Stroke and Lust of Homeopathic Therapy

Objective To explore the influencing factors of psychological disorders in patients with aphasia after stroke, and the clini- cal effect of lust of homeopathic therapy on patients with aphasia. Methods A total of 83 patients with aphasia after stroke were selected as the study objects and they were randomly as the observation group and the control group. The control group was given routine psychological nursing, observation group was added with lust of homeopathic therapy, the GSI score and the clinical effects were compared be- tween the two groups after treatment. Selected 60 patients without aphasia after stroke over the same period in our hospital（ without apha- sia group） as the contrast analysis. Results The psychological disorders of patients with aphasia mainly showed depression, anxiety, hos- ti!ity, paranoia,fear, depression and anxiety, especially depression and anxiety, there were significant differences between them and patients without aphasia （ t = 2. 858,2. 909 ;P 〈 0.05 ） ; The occurrence rate of psychological disorder in brain bilateral lesions was the highest. After treatment, the total effective rate in observation group was 94%, 81.7 % in the control group, the observation group was signifi- cantly higher than the control group （ X2 = 8.171, P 〈 0.05 ） ; In 8 weeks after treatment, GSI were significantly lower in the observation group than the control group （t = 6. 898,P 〈 0. 05 ）. Conclusion Patients with aphasia after stroke are more prone to be psychological disorders, mechanism of psychological disorders is related to lesion; Lust of homeopathic therapy can improve the psychological status of patients, and improve their quality of life.