心理康复治疗对老年脑卒中后抑郁病人的影响

目的探讨心理康复治疗对缺血性脑卒中后抑郁病人的作用。方法运用随机数字表法对2009年9月～2011年9月在某市综合性医院神经内科78例缺血性脑卒中患者分为对照组和治疗组,对照组患者给予常规药物治疗加运动康复训练,治疗组患者则在上述治疗的基础上加用心理康复治疗,分别于入组时及治疗4周后使用自编问卷、汉密尔顿抑郁量表(HAMD)、运动能力(Fugl-Meye量表)及生活能力(Bathel指数)进行测评,评价2组患者的临床治疗效果。结果经过为期4周的治疗后,心理康复治疗组患者的HAMD评分低于对照组,而其FMA评分及MBI评分明显高于对照组(P﹤0.01)。结论在对老年脑卒中后抑郁患者进行临床治疗时,躯体治疗和心理治疗同时进行的作用是相辅相成、相互促进的,使得老年脑卒中后抑郁患者康复治疗收到很好的效果,可以缩短患者的治疗时间,提高患者的生活质量。

Effect of Psychological rehabilitation post-stroke depression in elderly patients

OBJECTIVE To investigate the psychological rehabilitation of patients with ischemic stroke depression effect.METHODS Random number table was used in our study.From September 2009-September 2011.78 cases of ischemic stroke patients were selected from department of Neurology in the general hospital were divided into control group and treatment group.The control group were treated with conventional therapy and exercise rehabilitation training,while the treatment group in the treatment of patients were used psychological rehabilitation and conventional therapy.The cases were evaluated by using self-compiled questionnaire,Hamilton depression Rating Scale(HAMD),exercise capacity(Fugl-Meye scale)and life skills(Bathel index)after 4 weeks of treatment.RESULTS After 4-week treatment,the psychological rehabilitation in patients treated with HAMD score were significantly lower than the control group,while the FMA score and MBI score was significantly higher(P﹤0.01).CONCLUSION In the post-stroke depression in elderly patients with clinical treatment,physical therapy and psychological treatment were complementary and mutually reinforcing to make post-stroke depression in elderly rehabilitation patients to receive good results and shorten the treatment of patients time,and improve patient quality of life.