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目的：探讨早期理性情绪疗法对脊髓损伤患者心肺功能和日常生活能力的干预效果。方法：选择2013 年1 月到2015 年1 月我院132 例脊髓损伤患者作为研究对象，根据康复治疗过程中有无介入早期理性情绪疗法，将患者分为治疗组（早期理性情绪疗法组）和常规组，5 个月后观察两组患者的情绪状态、心肺功能、日常生活能力。结果：治疗5 个月后，两组患者的汉密尔顿焦虑量表（HAMA）和贝克抑郁量表（BDI）评分均低于治疗前，且治疗组的HAMA和BDI评分低于常规组，差异有统计学意义（P<0.05）。两组患者的血压和心率较治疗前升高，且治疗组的血压和心率高于常规组，差异有统计学意义（P<0.05）。两组患者的肺活量（VC）、最大自主分钟通气量（MVV）和一秒用力呼气容积（FEV1）较治疗前增加，且治疗组的VC、MVV 和FEV1 高于常规组，差异有统计学意义（P<0.05）。两组患者的巴塞尔指数（Barthel）评分较治疗前增加，且治疗组高于常规组，差异有统计学意义（P<0.05）。结论：早期理性情绪疗法可以改善脊髓损伤患者的抑郁和焦虑状态，改善患者的心脏功能指标和肺功能指标，促进心肺功能康复，提高患者日常生活活动能力。

英文摘要:

Objective:To investigate the effect of early rational emotive therapy on cardiopulmonary function and daily life ability of patients with spinal cord injury.Methods:A total of 132 patients with spinal cord injury, who were admitted to the First Affiliated Hospital of China Medical University from January 2013 to January 2015, were chosen as the research subjects and divided into treatment group(early rational emotive therapy group) and conventional group according to whether the early rational emotive therapy was accepted during the process of rehabilitation intervention or not. The emotional state, cardiopulmonary function and activity of daily living were observed after 5 months of treatment.Results:After 5 months of treatment, the scores of Hamilton Anxiety Scale (HAMA) and Beck Depression Inventory(BDI) of the two groups were lower than before treatment, and the scores of HAMA and BDI of the treatment group were lower than those of the conventional group, the differences were statistically significant (P<0.05). The blood pressure and heart rate of the two groups were increased than before treatment, and the above indexes of the treatment group were higher than those of the conventional group,the differences were statistically significant (P<0.05). The vital capacity (VC), maximal voluntary ventilation (MVV) and forced expiratory volume in one second (FEV1) were increased in the two groups, and the above indexes of the treatment group were significantly higher than those of the conventional group, the differences were statistically significant (P<0.05). The Barthel index scores of the two groupswere increased, and the treatment group was higher than conventional group, the differences were statistically significant (P<0.05).Conclusion:The early rational emotive therapy can improve the depression and anxiety and the heart function and pulmonary function indexes of the patients with spinal cord injury,and promote their recovery of cardiopulmonary function and increase their ability of daily life.

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