摘要
目的:分析脑卒中后抑郁(post-stroke depression,PSD)对卒中患者运动功能恢复的影响。方法:选择我院康复科符合条件的患者189例,采用汉密尔顿抑郁量表确诊PSD患者86例作为PSD组,其余103例作为非PSD组。于康复治疗前及治疗后(6周)对两组患者的运动功能进行Fugl-Meyer评分。结果:1.本组病例PSD的发生率为45.5%;2.康复治疗前PSD组患者的Fugl-Meyer评分明显低于非PSD组(P<0.01);康复治疗后,两组患者的Fugl-Meyer评分均明显提高,但PSD组仍然明显低于非PSD组(P<0.01);两组患者治疗前后改善值比较,PSD组明显低于非PSD组(P<0.01)。结论:PSD组患者的运动功能恢复程度较非PSD患者差,PSD对康复治疗效果有负面影响。
Objective：To analyze the effects of post-stroke depression （PSD） on recover of motor function of stroke patients.Methods： 189 stroke patients were chosen in this study and divided into PSD group （86 patients） and non-PSD group （103 patients） according to Hamilton＇ s depressive scale. The motor function of all patients were evaluated by Fugt-Meyer before rehabilitation care and 6 weeks after rehabilitation care respectively. Results： 1.The PSD incidence rate was 45.5% in this study.2. Before rehabilitation, the Fugl-Meyer marks of PSD patients were obviously lower than non-PSD patients （P 〈 0.01）;After rehabilitation,the Fugl-Meyer marks of all patients increased significantly,but the PSD patients＇ marks were still significantly lower than non-PSD patients （P 〈 0.01）.Conclusions：The recover of motor function of PSD patients is not as good as non-PSD patients,PSD has negative influence on rehabilitation care.
出处
《承德医学院学报》
2008年第3期251-253,共3页
Journal of Chengde Medical University
关键词
脑卒中后抑郁
运动功能
康复
Post-stroke depression （PSD）
Motor function
Rehabilitation
