贵州医科大学学报

2020, v.45;No.243(12) 1479-1483

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百适可联合心理治疗对脑卒中患者心理健康和生活质量的影响
Effects of Baishike Treatment Combined with Psychotherapy on Psychological Health and Quality of Life for Patients with Stroke

李润霞;张峥;刘艳清;张欣;
LI Runxia;ZHANG Zheng;LIU Yanqing;ZHANG Xin;Department of Psychiatry,Zhangjiakou Shalingzi Hospital;Functional Division,Zhangjiakou Shalingzi Hospital;Internal Medicine,Zhangjiakou Kangbao County People's Hospital;Department of Geriatrics,the 6th People's Hospital of Hebei Province;

摘要(Abstract):

目的:探讨百适可联合心理治疗对脑卒中患者心理健康及生活质量的影响。方法:90例脑卒中患者均分为对照组和观察组,对照组口服百适可治疗,观察组在对照组治疗的基础上加用心理治疗,2个月为一个疗程;比较2组患者治疗2个月时的有效率,比较治疗前后2组患血清纤维蛋白原(FIB)和D-D二聚体水平及汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、生活质量(WHOQOL-BREF量表)评分。结果:治疗前,2组患者的FIB和D-D二聚体水平、HAMD和HAMA及生活质量评分比较,差异无统计学意义(P> 0. 05);治疗后,2组患者的FIB水平较治疗前升高、D-D二聚体水平、HAMD、HAMA及WHOQOL-BREF量表评分均较治疗前升高,差异有统计学意义(P <0. 05),且观察组变化更加明显,与对照组比较差异有统计学意义(P <0. 05);治疗2个月时,观察组患者的治疗有效率(95. 56%)高于对照组(77. 78%),2组比较差异有统计学意义(P <0. 05);结论:采用百适可联合心理治疗方案治疗脑卒中患者,可改善患者的心理状态,提高患者的生活质量水平。
Objective: To investigate the clinical efficacy of the combination of baishike and psychotherapy treatment on mental health and quality of life for patients with cerebral apoplexy.Methods: 90 patients with stroke were randomly divided into control group and observation group in equal number. Control group was treated with baishike alone,the observation group received baishike combined with psychotherapy. 2 months as a whole course of treatment. Effective rate of both groups after 2 months of treatment were compared concerning following values: FIB,D-D dimer level,and HAMD,HAMA,and WHOQOL-BREF score. Results: Before treatment,comparison of FIB,D-D dimer level and HAMD,HAMA,and WHOQOL-BREF score of both groups showed no statistical significance( P > 0. 05). After treatment,both groups showed increased FIB level,D-D dimer level,and scores of HAMD, HAMA,and WHOQOL-BREF were all improved compared with before treatment,difference was statistically significant( P < 0. 05). Observation group showed more obvious changes,and differences between such changes and control group were statistically significant( P <0. 05). After two months treatment,effective rate of observation group( 95. 56%) was higher than control group( 77. 78%),differences were statistically significant( P < 0. 05). Conclusion: The treatment of baishike combined with psychotherapy can significantly improve the mental status of patients and improve their quality of life.

关键词(KeyWords): 卒中;治疗结果;生活质量;百适可;心理治疗;心理健康
stroke;treatment outcome;quality of life;baishike;psychotherapy;mental health

Abstract:

Keywords:

基金项目(Foundation): 河北省医学科学研究重点课题计划项目(ZD201400461);; 张家口市科技计划项目(1821098D)

作者(Author): 李润霞;张峥;刘艳清;张欣;
LI Runxia;ZHANG Zheng;LIU Yanqing;ZHANG Xin;Department of Psychiatry,Zhangjiakou Shalingzi Hospital;Functional Division,Zhangjiakou Shalingzi Hospital;Internal Medicine,Zhangjiakou Kangbao County People's Hospital;Department of Geriatrics,the 6th People's Hospital of Hebei Province;

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DOI: 10.19367/j.cnki.2096-8388.2020.12.022

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