CAJ | 학술논문

目的：观察计算机辅助训练结合认知行为疗法对脑卒中后抑郁的影响。方法：60例随机分为治疗组30例和对照组30例，两组均接受脑卒中常规治疗，包括药物、基本康复训练和认知行为治疗，治疗组再接受计算机辅助训练。用汉密尔顿抑郁量表和改良Barthel指数对康复前和康复1个月后进行测定。结果：治疗结束后，两组两项评分均有所改善（P＜0.01），说明两组抑郁情况均有改善，而治疗组明显优于对照组（P＜0.01）。结论：计算机辅助训练结合认知行为疗法治疗脑卒中后抑郁改善效果优于认知行为疗法，对脑卒中后抑郁患者的恢复有积极作用。
목적：관찰계산궤보조훈련결합인지행위요법대뇌졸중후억욱적영향。방법：60례수궤분위치료조30례화대조조30례，량조균접수뇌졸중상규치료，포괄약물、기본강복훈련화인지행위치료，치료조재접수계산궤보조훈련。용한밀이돈억욱량표화개량Barthel지수대강복전화강복1개월후진행측정。결과：치료결속후，량조량항평분균유소개선（P＜0.01），설명량조억욱정황균유개선，이치료조명현우우대조조（P＜0.01）。결론：계산궤보조훈련결합인지행위요법치료뇌졸중후억욱개선효과우우인지행위요법，대뇌졸중후억욱환자적회복유적겁작용。
Objective:To observe the effect of computer assisted training combined with cognitive behavior therapy on post-stroke depression. Method:Sixty patients with post-stroke depression were randomly divided into two groups: treatment group(n=30) and control group(n=30). Both groups were received conventional therapy for stroke, including drug treatment, basic rehabilitation training and cognitive behavior therapy, while in the treatment group simultaneously were received computer assisted training. The outcome was evaluated with hamilton depression scale and modified Barthel index before and after the training for improvement. Result:After training, the scores were improved in both group(P<0.01), but the treatment group were statistically superior to that of the control group(P<0.01). Conclusion:Computer assisted training could significantly improve the condition of post-stroke depression,with positive influence.