目的：评估平衡训练联合心理疏导对车祸后平衡功能障碍患者的治疗效果。

方法：1例车祸后患者经排除器质性损伤后，诊断为平衡功能障碍以及创伤后应激障碍、轻度抑郁和焦虑。给予平衡训练联合心理疏导治疗，采用精神心理量表评估治疗效果。

结果：经过20次治疗后，患者恢复平衡功能，能够独自穿越马路，创伤后应激障碍也逐渐缓解。Berg平衡量表、创伤后应激障碍检查表平民版（Post-traumatic Stress Disorder Cheeklist-Civilian Version，PCL-C）、汉密尔顿抑郁量表（Hamilton Depression Scale，HAMD）和汉密尔顿焦虑量表（Hamilton Anxiety Scale，HAMA）评分均明显改善。

结论：对于车祸后主要因创伤后应激障碍、焦虑和抑郁等情绪障碍导致的平衡功能障碍，常规康复训练联合心理疗法可能是有效的治疗手段。

Objective: To evaluate the effect of balance training combined with psychological counselling on patients with balance dysfunction after traffic accident.

Methods: One patient after traffic accident was diagnosed of balance dysfunction, posttraumatic stress disorder, mild depression and anxiety after excluding organic injury. The patient was given balance training combined with psychological counselling, and the therapeutic response was evaluated by mental psychological scales.

Results: After 20 times of balance training, the patient recovered from balance dysfunction and was able to cross the road alone, and the post-traumatic stress disorder was gradually relieved. The scores of Berg Balance Scale, Post-traumatic Stress Disorder Checklist-Civilian Version (PCL-C), Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) were significantly improved.

Conclusion: For the balance dysfunction mainly caused by post-traumatic stress disorder, anxiety and depression, routine rehabilitation training combined with psychotherapy may be an effective treatment strategy.