摘要
目的探讨认知疗法联合图片识别训练对脑梗死后抑郁的影响。方法采用随机数字表法将60例脑梗死后抑郁患者分为治疗组及对照组，2组患者均给予常规康复训练，治疗组在此基础上辅以认知干预及图片识别训练。分别于治疗前、治疗4周后采用图片识别平均反应时间及正确率、汉密尔顿抑郁量表（HAMD）及Barthel指数（BI）评分对2组患者进行疗效评定。结果治疗后治疗组患者图片识别平均反应时间为（708．59±181．82）ms，正确率为（91．02±10．23）％，HAMD评分为（11．1±3．2）分，BI评分为（74．1±9．4）分；对照组图片识别平均反应时间为（840．35±190．56）ms，正确率为（72．41±11．64）％，HAMD评分为（14．6±4．2）分，BI评分为（61．8±10．5）分，2组患者上述指标均较治疗前明显改善（均P〈0．05）；并且上述指标均以治疗组的改善幅度较显著，与对照组间差异均具有统计学意义（均P〈0．05）。结论认知疗法联合图片识别训练能明显改善脑梗死后抑郁患者图片识别能力及抑郁症状，对提高患者日常生活活动能力具有重要作用。
Objective To investigate the effects of cognitive therapy combined with picture recognition training on depression after stroke （PSD）. Methods Sixty patients with PSD after cerebral infarction were ran- domized into study and control groups. All accepted routine rehabilitation therapy. In addition, the study group ac- cepted cognitive therapy combined with picture recognition training. The effects were assessed in terms of average reaction time and accuracy in picture recognition, and using the Hamilton depression rating scales （HAMDs） and the Barthel index （BI） before and after 4 weeks of treatment. Results The average reaction time and accuracy in picture recognition and the HAMD and BI scores improved significantly in both groups. The effects in the study group were significantly better than those of the control group. Conclusion Cognitive therapy combined with pic- ture recognition training can alleviate depression symptoms and improve ability in the activities of daily living after stroke.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2013年第2期123-125,共3页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
脑梗死
抑郁
认知疗法
图片识别训练
Cerebral infarction
Depression
Cognitive therapy
Picture recognition training
