摘要
目的观察早期心理疏导对急性脑卒中后抑郁患者神经功能缺损康复的影响。方法将60例初发脑卒中神经功能缺损伴卒中后抑郁患者随机分为观察组和对照组,每组30例,对照组予常规药物、肢体活动指导治疗,观察组在此基础上给予心理疏导。用Zung量表(SDS)和改良的爱丁堡斯堪的那维亚卒中量表(MESSS)分别于治疗前和治疗后进行抑郁程度及于第2、4、8周末对患者进行肌力评定。结果观察组与对照组SDS、MESSS评分治疗前差异无统计学意义(P>0.05);治疗后第2周末观察组有低于对照组的趋势,但差异无统计学意义(P>0.05);治疗后第4、8周末观察组低于对照组,差异有统计学意义(P<0.05)。结论早期心理疏导对急性脑卒中后抑郁神经功能缺损康复有明显的疗效。
Objective To observe the effects of early psychological leading in patients with acute post - stroke depression on the rehabilitation of neurological impairment. Methods 60 patients with first stroke with neurological impairment and post - stroke depression were divided into observation group （n = 30 ） and control group （n = 30） randomly. All the patients were treated with conventional pharmacotherapy and guidance of physical activities, and psychological leading was added to observation group. Zung scale used（SDS） was used to assess the depression level of patients before and after the treatment, and the Edinburgh modified Scandinavian Stroke Scale（MESSS） was used to evaluate the muscle strength at 2,4,8 weeks after treatment, after treatment 4,8 weekend group was lower than that observed in control group, there was a significant difference （ P 〈 0.05 ）. Results There was no significant difference on the scores of SDS and MESSS between the two groups before treatment （ P 〉 0.05 ）. The scores of observation group were trend to lower than control group after 2 - week treatment, but there was no significant difference（ P 〉 0.05 ）. The scores of observation group were lower than control group after treatment at 4,8 weekends, and the difference is significant （ P 〈 0.05 ）. Conclusion There was obvious effect of early psychological leading in patients with acute postsroke depression on the rehabilitation neurological impairment.
出处
《安徽医学》
2009年第5期524-526,共3页
Anhui Medical Journal
关键词
心理疏导
脑卒中后抑郁
神经功能缺损
康复
Psychological leading
Post - stroke depression
Neurological impairment
Rehabilitation
