【摘要】 目的：探讨早期呼吸训练（ERT）联合认知行为干预（CBI）对急性脑卒中患者焦虑抑郁情绪及康复期生活质量的影响。方法：选取2022年1月至2023年12月河南科技大学第二附属医院收治的89例急性脑卒中患者作为研究对象，依据随机数字表法分成参照组（44例）和观察组（45例）。参照组患者采用常规康复治疗及基础心理护理，观察组患者在参照组的基础上加用ERT及CBI。比较两组患者临床效果、干预前后焦虑抑郁情绪及生活质量。结果：与参照组比较，观察组患者治疗总有效率更高，差异具有统计学意义（P<0.05）；干预后，与参照组比较，观察组患者焦虑自评量表（SAS）、抑郁自评量表（SDS）评分更低，世界卫生组织生活质量测定量表简表（WHOQOL–BREF）各领域评分均更高，差异具有统计学意义（P<0.05）。结论：ERT联合CBI能显著提高急性脑卒中患者的临床疗效，有效缓解焦虑抑郁情绪，提高生活质量。更多还原

【Abstract】 Objective To explore the effect of early respiratory training(ERT) combined with cognitive behavioral intervention(CBI) on anxiety, depression and quality of life during the rehabilitation period in patients with acute stroke. Methods A total of 89 patients with acute stroke admitted to The Second Affiliated Hospital of Henan University of Science and Technology from January 2022 to December 2023 were selected as the research subjects and randomly divided into a control group(44 cases) and an observation group(45 cases) according to the random number table method. Patients in the control group received conventional rehabilitation treatment and basic psychological care, while patients in the observation group received ERT and CBI in addition to the treatment in the control group. The clinical effects, anxiety and depression scores, and quality of life before and after intervention were compared between the two groups. Results Compared with the control group, the total effective rate of treatment in the observation group was higher, and the difference was statistically significant(P < 0.05). After intervention, compared with the control group, the scores of the self-rating anxiety scale(SAS) and the self-rating depression scale(SDS) in the observation group were lower, and the scores of all domains of the World Health Organization quality of life-BREF(WHOQOL-BREF) were higher, and the differences were statistically significant(P < 0.05). Conclusion ERT combined with CBI can significantly improve the clinical efficacy of patients with acute stroke, effectively relieve anxiety and depression, and improve quality of life.更多还原