CAJ | 학술논문

目的：探讨精神心理疗法在脑卒中患者中的临床应用效果，评估心理康复治疗对脑卒中后抑郁症的治疗效果。方法选取2011年8月～2013年7月内科住院及内科门诊脑卒中后抑郁患者共72例作为研究对象，按照随机数字表法分为治疗组（37例）和对照组（35例），对照组常规给予药物治疗和功能锻炼治疗，治疗组在对照组的基础上增加每周3次的精神心理治疗，以汉密尔顿抑郁量表（HAMD）评分以及神经功能缺损评分作为观察指标评估两组的临床效果、并进行比较分析。结果治疗前两组患者的HAMD评分以及神经功能缺损评分间差异均无统计学意义（P＞0.05），治疗后1、3个月，两组患者的HAMD评分以及神经功能缺损评分均显著降低，治疗组降低幅度更大，与对照组比较差异有统计学意义（P＜0.05）。结论精神心理疗法在脑卒中患者中的临床应用效果满意，能够更好地改善患者的抑郁及神经功能缺损状况，促进患者的康复，提高患者生存质量。
목적：탐토정신심리요법재뇌졸중환자중적림상응용효과，평고심리강복치료대뇌졸중후억욱증적치료효과。방법선취2011년8월～2013년7월내과주원급내과문진뇌졸중후억욱환자공72례작위연구대상，안조수궤수자표법분위치료조（37례）화대조조（35례），대조조상규급여약물치료화공능단련치료，치료조재대조조적기출상증가매주3차적정신심리치료，이한밀이돈억욱량표（HAMD）평분이급신경공능결손평분작위관찰지표평고량조적림상효과、병진행비교분석。결과치료전량조환자적HAMD평분이급신경공능결손평분간차이균무통계학의의（P＞0.05），치료후1、3개월，량조환자적HAMD평분이급신경공능결손평분균현저강저，치료조강저폭도경대，여대조조비교차이유통계학의의（P＜0.05）。결론정신심리요법재뇌졸중환자중적림상응용효과만의，능구경호지개선환자적억욱급신경공능결손상황，촉진환자적강복，제고환자생존질량。
Objective To explore clinical effect of Stroke patients with mental and psychological therapy,and assess the psychological rehabilitation of depression after stroke treatment. Methods 72 patients with poststroke depression from Aug. 2011 to Jul. 2013 in our hospital and internal department were devided into two groups by means of random number table. The control group (37 cases) was given medication and functional exercise.Treatment group(37 cases) increased in the control group on the basis of mental and psychological therapy 3 times a week,Hamilton Depression Scale (HAMD) and Neurologic impairment score of the two groups of patients before treatment and after treatment scores to determine clinical efficacy. Results The two groups in HAMD scores and Neurologic impairment score before treatment were no significant differences (P>0.05).The two groups in HAMD score and Neurologic impairment score after 1 and 3 months were reduced than before treatment;The treatment group were significantly lower than control group (P < 0.05). Conclusion Mental and psychological therapy in patients with Stroke patients and its clinical application effect of satisfaction, can improve the patient's depression and neurologic conditions, promote the rehabilitation of the patient and improve the patients quality of life.