Objective : To explore the effect of cognitive behavioral therapy on patients with post - stroke depression and nervous dysfunction. Methods : The 178 patients of post - stroke depression were randomly divided into treatment group and control group,89patients in each group. Treatment group accepted cognitive behavioral therapy on the hase of conventional therapy and control group accepted conventional therapy. The Self - Rating Depress Scale and Neurological Function Deficit Scale were used in the two groups before and after the treatment. Results : After 5 weeks. the scores of Self - Rating Depression and Neurological Function Deficit in the therapy group were lower than in the control group( P ＜ 0. 01 ). Conclusion : Cognitive behavioral therapy can significantly improve the depression and promote nervous dysfunction in stroke.%目的:探讨认知行为疗法对脑卒中后抑郁及神经功能康复的临床疗效.方法:以178例脑卒中后抑郁患者为研究对象,依随机的形式分为治疗组和对照组,各89例,两组患者均采用常规治疗,治疗组则在此基础之上给予认知行为疗法.治疗前、后分别采用抑郁量表和神经功能缺损程度量表进行测评.结果:治疗组治疗5周后抑郁量表评分和神经功能缺损评分明显低于对照组,有显著性差异(P＜0.01).结论:认知行为疗法对改善脑卒中后抑郁、促进神经功能康复效果显著.
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