认知疗法和电刺激治疗脑梗死后抑郁的疗效观察

目的探讨认知疗法和电刺激对脑梗死后抑郁的影响。方法本研究选取60例脑梗死后抑郁患者，将其随机分为药物治疗组（对照组）及认知疗法和电刺激治疗组（治疗组）。对照组给予氟西汀（百优解）20mg／d，治疗组在应用氟西汀的同时，还给予认知疗法和电刺激干预。分别于治疗前及治疗后2个月对两组患者应用汉密顿抑郁量表（HAMD）、神经功能缺损评分表（NFD）、日常生活能力指数（BI）进行评定比较。结果治疗组患者经2个月治疗后，其抑郁症状明显改善，HAMD评分降低；治疗组患者HAMD评分明娩低于对照组，治疗组患者神经功能改善及日常生活活动能力提高均优于对照组，组间差异具有统计学意义（P〈0.05）。结论认知疗法和电刺激治疗能降低神经功能缺陷程度，增强上下肢运动功能，改善抑郁情绪，提高日常生活能力和生活质量，促进患者康复。

Cognitive therapy in combination with electric stimulation in treatment of post cerebral infarction depression

Objective To study the effect of cognitive therapy in combination electric stimulation in treatment of post cerebral infarction depression. Methods 60 patients were randomly divided into therapy group （n = 30 ） and control group （ n = 30）. All patients were treated with Fluoxetine. The former received cognitive therapy and electric stimulation in addition to regular medication. All patients were evaluated with Hamilton Depression Rating Scales（HAMD） ,Neurological Function Deficit scale （NFD）, Barthel Index （BI）. Results The improvement of therapy group was greater than the control group （ P 〈 0.05 ）. Conclusion Cognitive therapy and electric stimulation decrease nerve function level,improve locomotion function of hands and legs, and ameliorate depression emotion, improve ability of daily living and quality of living, accelerate patients＇ recovery.