摘要
目的探讨强化平衡训练联合心理治疗在中青年卒中后抑郁患者平衡功能中的应用效果。方法选取我院2018年6月至2020年5月康复科PSD患者84例为研究对象。按随机数字表将患者分为观察组和对照组,每组各42例。对照组采用抗抑郁药治疗和常规平衡训练,观察组在对照组基础上实施心理治疗后再进行强化平衡训练,以比较两组患者抑郁状况、平衡功能和下肢功能。结果两组患者治疗前HAMD评分比较,差异无统计学意义(P>0.05),治疗后两组评分均出现不同程度下降(P<0.05),且观察组评分明显低于对照组(t=6.835,P<0.05);治疗后观察组BBA各维度评分显著高于对照组P<0.05);两组患者FMA评分较治疗前明显上升(P<O.05),且观察组上升幅度较对照组更明显(t=2.336,P<0.05)。结论强化平衡训练联合心理治疗可改善中青年卒中后患者抑郁情绪,促使患者严格遵循治疗师制定的强化平衡方案训练,从而提高患者平衡功能和下肢活动能力。
Objective To explore the application effect of intensive balance training combined with psychotherapy in the balance function of young and middle-aged patients with post-stroke depression.Methods A total of 84 patients with PSD in the rehabilitation department from June 2018 to May 2020 in our hospital were selected as the research objects.According to the random number table,the patients were divided into the observation group and the control group,with 42 cases in each group.The control group was treated with antidepressants and conventional balance training,and the observation group was treated with intensive balance training based on the treatment of the control group before psychotherapy.The depression status,balance function,and lower limb function of the two groups were compared.Results There was no significant difference in HAMD scores between the two groups before treatment(P>0.05).After treatment,the scores of the two groups decreased to varying degrees(P<0.05),and the scores of the observation group were significantly lower than those of the control group(t=6.835,P<0.05).After treatment,the scores of all dimensions of BBA in the observation group were significantly higher than those of the control group(P<0.05).The FMA scores of the two groups were significantly higher than before treatment(P<0.05),and the increase in the observation group was more significant than that of the control group(t=2.336,P<0.05).Conclusion Intensive balance training combined with psychotherapy can improve the depression of young and middle-aged patients after stroke,prompt the patients to strictly follow the intensive balance training formulated by the therapist,thereby improving the patient's balance function and lower limb mobility.
作者
徐帅
张菁
张翠平
XU Shuai;ZHANG Jing;ZHANG Cuiping(Department of Rehabilitation,Zaozhuang Mining Group Central Hospital,Zaozhuang 277800,China)
出处
《中国现代医生》
2021年第13期25-28,共4页
China Modern Doctor
关键词
强化平衡训练
心理治疗
中青年
卒中后抑郁
平衡功能
下肢功能
Intensive balance training
Psychotherapy
Young and middle-aged
Post-stroke depression
Balance function
Lower limb function
