心理康复对老年脑出血患者术后抑郁的效果分析

目的研究分析心理康复对老年脑出血术后抑郁的临床疗效。方法选择2010年1月～2012年3月四川大学华西医院收治的老年脑出血术后抑郁症患者90例,随机分为对照组45例,进行常规抗抑郁治疗,实验组45例在对照组基础上行系统性心理治疗。分析比较两组患者治疗前及治疗后1个月Zung简易抑郁评定量表（SAS）和抑郁自评量表（SDS）评分,并计算治疗总有效率。结果治疗前实验组SAS评分及SDS评分分别为（59.2±9.1）、（63.7±14.2）分,对照组SAS评分及SDS评分分别为（58.9±8.6）、（62.5±13.7）分,组间评分比较,差异均无统计学意义（P〉0.05）;治疗后1个月,实验组SAS及SDS评分分别为（42.6±9.1）、（48.3±12.4）分,均低于对照组[（50.2±7.4）、（58.4±11.2）分],差异均有统计学意义（均P〈0.05）;对照组治疗后1个月总有效率为67.3%（30/45）,低于实验组的80.0%（36/45）,差异有统计学意义（P〈0.05）。结论心理康复能有效改善老年脑出血术后的抑郁症状,具有临床应用价值。

Effect analysis of psychological rehabilitation for the elderly patients with depression after cerebral hemorrhage surgery

Objective To investigate the clinical efficacy of psychological rehabilitation for the elderly patients with depression after cerebral hemorrhage surgery.Methods 90 elderly patients with depression after cerebral hemorrhage surgery from January 2010 to March 2012 in West China Hospital of Sichuan University were selected and randomly divided into control group and experimental group.45 cases in control group were treated with conventional antidepressant treatment,45 cases in experimental group were given the systematic psychological treatment combined with conventional antidepressant treatment.SAS score and SDS score in the two groups 1 month after the treatment were analyzed and compared;total effective rate was calculated.Results SAS scores and SDS scores in experimental group before the treatment were（59.2±9.1） and（63.7±14.2） scores,SAS scores and SDS scores in control group before the treatment were（58.9±8.6） and（62.5±13.7） scores,the differences of SAS scores and SDS scores in the two groups were not statistically significant（P 0.05）.SAS scores and SDS scores in experimental group 1 month after the treatment were（42.6 ±9.1） and（48.3 ±12.4） scores,they were all lower than those in control group [（50.2 ±7.4）,（58.4±11.2） scores],the differences were statistically significant（P 0.05）;total effective rate in control group [67.3%（30/45）] 1 month after the treatment were lower than those in experimental group [80.0%（36/45）],the differences were statistically significant（P 0.05）.Conclusion Psychological rehabilitation can effectively improve the depressive symptoms of elderly cerebral hemorrhage,it has clinical value.