运用中医心理学对脑卒中后抑郁障碍的心理干预

目的 探讨运用中医心理学方法 对卒中后抑郁障碍患者日常生活运动能力(ADL)恢复的效果.方法 经汉密顿抑郁量表(HAMD)评分为轻、中度抑郁障碍的脑卒中患者64例,随机分为干预组和对照组.两组患者在相同临床治疗和康复的基础上,干预组给予中医心理干预方法 ,分别于干预前和干预后40 d、70 d、100 d采用HAMD和ADL量表对疗效进行康复评价.结果 干预前两组患者评分无显著性差异(P＞0.05).40 d后干预组患者HAMD评分为(13.04±4.86)分,对照组为(17.92±5.82)分,两组比较有统计学意义(P＜0.05);AOL评分干预组为(61.85±11.73)分,对照组为(53.02±10.54)分,两组比较有统计学意义(P＜0.05);干预70 d和100 d,HAMD及ADL评分差异更显著(P＜0.01).结论 尽早采取中医心理学方法 治疗脑卒中后抑郁障碍,可促进患者运动功能,恢复ADL能力.

Clinical Observation on Traditional Chinese Mental Intervention in Treating Post-Apoplexy Depressive Disorder

Objective To evaluate the clinical efficacy of traditional Chinese mental intervention in treating post-apoplexy depressive disorder and its effects on recovery of activities of daily living(ADL).Methods 64 cases of post-apoplexy depressive disorder patients of light or moderate degree(evaluated by HAMD scale)were randomly separated into an experiment group and a control group.On the basis of identical basic clinical treatments,the experiment group was treated with traditional Chinese mental intervention,and the results were evaluated by HAMD scale and ADL scale at the 40th,the 70th and the 100th day.Results There were no differences in marks of the two scale between the experiment group and the control group at the beginning(P＞0.05).At the 40th day,the HAMD scale mark was 13.04±4.86 in the experiment group and 17.92±5.82 in the control group,showing significant differences(P＜0.05)between the two groups.At the same time,the ADL scale mark was 61.85±11.73 in the experiment group and 53.02±10.54 in the control group,showing significant differences between the two groups too(P＜0.05).At the 70th day and 100th day,the differences became much more notable(P＜0.01).Conclusion Traditional Chinese mental intervention was effective in promoting the motor function and activities of daily living and relieving the depress disorder for post-apoplexy depressive disorder.Post-apoplexy depress disorder patients should be treated with Chinese traditional mental intervention as soon as possible.