文档介绍：中华临床医师杂志(电子版)2014 年 2 月第 8 卷第 3 期 Chin J Clinicians(Electronic Edition),February 1,2014,, ·407·
·临床论著·
心理治疗在改善脑卒中患者抑郁状况
及认知功能中的应用研究
王凤华
【摘要】目的观察心理干预治疗对脑卒中后抑郁状况及认知功能改善的临床疗效,为探讨脑
卒中治疗的新模式提供科学依据。方法按照相关诊断标准,选取我院脑卒中后抑郁患者 110 例,
随机分为干预组(51 例)和对照组(59 例)。对照组患者给予常规治疗,干预组患者在常规治疗基
础上,给予心理干预治疗,干预周期为 8 周。在不同时间点,采用 HAMD 和 MMSE 量表收集、评
定患者的抑郁状况和认知功能情况,并利用重复测量数据方差分析和 Wilcoxon 秩和检验进行分析。
结果两组患者不同时间点 HAMD 和 MMSE 量表平均得分差异均有统计学意义(F1 时间点=,
F1 交互效应=,F2 时间点=,F2 交互效应=,P 均<)。干预组与对照组抑郁及认知功能改善
总有效率差异均有统计学意义(Z1=- 5,Z2=- 8,P 均<)。结论心理干预结
合常规治疗能更有效地改善脑卒中患者抑郁状况及认知功能。建议将心理干预纳入到临床常规治疗,
逐步探索确立新的治疗模式。
【关键词】卒中; 抑郁; 认知障碍; 心理干预
Curative effect of psychotherapy intervention for improving depression and Cognitive impairment
following stroke Wang Fenghua. Operating Room, The People's Hospital of Qufu City, Qufu 273100,
China
Email: xdk0537@
【Abstract】 Objective To observe the curative effect of psychotherapy intervention for improving
depression and cognitive impairment following stroke, the study was conducted to provide scientific basis
for exploring new model in treating stroke. Methods 110 cases with depression following stroke were
randomly divided into the intervention group (51 cases) and the control group (59 cases). The patients in
the control group were treated by routine therapy and those in the other group were treated by
ps