脑卒中抑郁状态患者抗抑郁治疗对神经功能康复影响.docVIP

脑卒中抑郁状态患者抗抑郁治疗对神经功能康复影响[摘要] 目的 探讨抑郁治疗干预对急性脑卒中患者神经功能缺损康复的影响。方法93例脑卒中后抑郁（PSD）患者随机分为心理治疗组，综合治疗组及药物治疗组，均接受康复治疗，各组分别给予心理治疗及药物治疗，比较各组康复过程HRDS、NIHSS、ADL评分变化。结果 康复治疗2周后，综合治疗组及药物治疗组NIHSS、HRDS评分低于心理治疗组、ADL评分高于心理治疗组，治疗4周后，综合治疗组NIHSS及HRDS评分低于药物治疗组及心理治疗组，ADL评分高于药物治疗组及心理治疗组。结论 综合治疗模式能够有效改善PSD患者的抑郁心理，有利于神经功能康复。 [关键词] 脑卒中后抑郁；神经功能缺损；生活能力；康复 [中图分类号] R743.3；R473.74 [文献标识码]B[文章编号] 1673-9701（2011）25-70-03 Effect of Rejecting Depression to Rehabilitation in Nerve Function on Patinets with Post-stroke Depression ZHANG Rui Department of Rehabilitation， Hangzhou Iron and Steel Group Company Hospital，Hangzhou 310022，China [Abstract] Objective To investigate the effect of rejecting depression to rehabilitation in nerve function on patinets with post-stroke depression（PSD）. MethodsAll 93 cases patients with PSD were divided into psychotherapy groups， medication groups and combined therapy groups，all patients were taken rehabilitative treatment， psychotherapy and medication were taken in differents groups，score of hamilton depression score（HRDS）， national institutes of heahh stroke scale（NIHSS） and activity of daily living scale（ADL） were contrasted during stage of rehabilitation. Results After Two weeks rehabilitative treatment，score of NIHSS and HRDS was lower in medication groups and combined therapy groups than psychotherapy groups，score of ADL was higher in in medication groups and combined therapy groups than psychotherapy groups，four weeks after rehabilitative treatment，score of NIHSS and HRDS was lower in combined therapy groups than psychotherapy groups and medication groups，score of ADL was higher in combined therapy groups than psychotherapy groups and medication groups. Conclusion Compositive therapeutic pattern was could improved depression mental in PDS，was helpful for rehabilitation of never function. [Key words] Post-stroke depression；Functional impairment of never； Viability；Rehabilitation PSD是脑血管意外常见的并发症，脑卒中后抑郁不仅对患者身心健康存在明显影响，而且对于患者术后神经功能康复也存在明显的影响，既往的研