目的探讨五行辨证心理干预对社区卒中后抑郁患者神经功能的影响。方法将脑卒中恢复期抑郁症患者50例随机分为两组,每组25例。对照组患者采用常规的康复及抗抑郁治疗,观察组患者在此基础上加用五行心理干预治疗。两组患者疗程均为6个月,观察比较两组患者卒中量表残障改善(NIHSS)、生活能力评价(BI指数)评分、简明智能测定量表高级智能改变(MMSE)、汉密尔顿抑郁量表负性情绪(HAMD)评分的变化。结果干预后,两组患者的NIHSS评分、Bl指数评分、MMSE评分、HAMD评分均有不同程度的改善,观察组患者改善程度优于对照组(P<0.05)。结论在常规康复及抗抑郁治疗的基础上,加用五行辨证心理干预治疗可有效改善社区卒中后抑郁患者神经功能,值得推广应用。
ObjectiveTo investigate the influence of community psychological intervention based on five-element theory on neural function in patients with post-stroke depression (PSD). MethodsA total of 50 patients with PSD were randomly divided into observation group and control group, with 25 cases in each. Control group was treated with the conventional rehabilitation therapy and antidepressant treatment, while the observation group was given community psychological intervention based on five-element theory on the basis of control group. The treatment course of the two groups was 6 months, the scores of NIHSS, BI, MMSE, HAMD were compared between two groups. ResultsCompared with before intervention, the scores of NIHSS, BI, MMSE and HAMD in two groups were improved significantly after treatment,and the scores of these indices in the observation group were superior to those of control group(P<0.05). ConclusionsFive elements syndrome differentiation psychological intervention on the basis of conventional rehabilitation therapy and antidepressant treatment can significantly improve the neural function in patients with post-stroke depression, and should be widely applied.