心理康复对老年脑卒中后抑郁患者免疫功能的影响

被引：17

作者：

夏颖华

苏微微

齐颖

金鑫

姚远

张明义

张蕴

机构：

[1] 天津医科大学总医院保健医疗部,天津市老年病学研究所

来源：

中华老年医学杂志 | 2014年 / 33卷 / 10期

关键词：

卒中; 心理护理; 免疫; 抑郁;

D O I：

暂无

中图分类号：

R473.74 [神经病、精神病护理学];

学科分类号：

摘要：

目的探讨心理康复对老年脑卒中后抑郁患者免疫功能的影响。方法选择80例脑卒中后抑郁症老年患者随机分成康复组和对照组,康复组采取常规药物治疗、辅助运动疗法及心理疏导等综合康复治疗措施,对照组仅采用常规药物和辅助运动疗法治疗,均治疗3个月。患者治疗前和治疗3个月后分别进行Barthel指数、汉密尔顿抑郁量表(HAMD)评定和免疫功能检测。结果治疗前康复组与对照组间Barthel指数、HAMD评分、免疫功能指标测定差异无统计学意义(P>0.05)。治疗3个月后,康复组与对照组比较Barthel指数明显提高(P=0.000)、HAMD评分明显下降(P=0.000)、T淋巴细胞亚群水平增高(P<0.05)、免疫球蛋白水平显著提高(P<0.01)。结论心理康复、运动训练与药物相结合治疗方法,有利于脑卒中后抑郁患者免疫功能康复,提高患者的生活质量。

引用

页码：1056 / 1059

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