《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (12): 1157-1158.

• 临床研究 • 上一篇    下一篇

康复训练结合合理情绪疗法治疗脑卒中后抑郁的疗效观察

时美芳; 朱美红; 顾旭东; 杨叶珠; 曹小英   

  1. 嘉兴市第二医院,浙江嘉兴市 314000
  • 收稿日期:2007-04-02 出版日期:2007-12-01 发布日期:2007-12-01

Effect of Rehabilitation Training Combined with Rational-emotive Therapy on Post-stroke Depression

SHI Mei-fang, ZHU Mei-hong, GUXu-dong, et al   

  1. The Second Hospital of Jiaxing City, Jiaxing 314000, Zhejiang, China
  • Received:2007-04-02 Published:2007-12-01 Online:2007-12-01

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摘要： 目的探讨合理情绪疗法对脑卒中后抑郁的康复疗效。方法将51例脑卒中抑郁患者随机分为治疗组(25例)和观察组(26例),均接受常规康复训练,并每日口服氟西汀20mg。治疗组在此基础上早期介入合理情绪疗法进行心理康复治疗,每周2次,每次30min,连续治疗6周。采用Zung抑郁自评量表和Fugl-Meyer运动评分对两组患者分别在治疗前后进行测评。结果治疗后,治疗组患者的抑郁评分和运动评分均优于观察组(P<0.05)。结论合理情绪疗法能改善脑卒中抑郁状态,提高患者的运动功能。

关键词: 脑卒中, 抑郁, 合理情绪疗法

Abstract: Objective To explore the effect of rehabilitation training combined with rational-emotive therapy on post-stroke depression (PSD).Methods 51 PSD patients were randomly divided into the treatment group (n=25) and control group (n=26). All patients received routine rehabilitation training, simultaneously took 20 mg of fluoxetine hydrochloride dispersible tablets per day. Based on above, the treatment group was given physiological rehabilitation treatment with rational-emotive therapy in early stage, 30 min each time, continuously 6 weeks. The two groups were assessed with Zung Self-rating Depression Scale and Fugl-Meyer Motor Scale before and after treatment.Results Afer treatment, the scoers of Zung Self-rating Depression Scale and Fugl-Meyer Motor Scale of the treatment group was higher than that of the control group ( P<0.05).Conclusion The rational-emotive therapy might improve the depression condition of post-stroke, enhance patients' motor function.

Key words: stroke, depression, rational-emotive therapy