选择性脑亚低温治疗对脑卒中后抑郁影响的研究

A study on influence of selective sub-hypothermia therapy onpost-stroke depression patients

[目的]探讨选择性脑亚低温治疗对脑卒中后抑郁(PSD)的影响。[方法]将106例急性脑卒中病人随机分为实验组和对照组,每组53例。对照组对原发病及并发症的治疗护理按常规进行;实验组在常规治疗与护理基础上,给予选择性脑亚低温治疗。检测两组病人卒中后2个月的临床精神状态,并记录治疗过程中出现的并发症。[结果]实验组PSD发生率(26.42%)低于对照组(52.83%),且其他并发症的发生率(11.32%)也低于对照组(28.30%),差异均具有统计学意义(P<0.05)。[结论]对急性脑卒中病人进行选择性脑亚低温治疗,可减少PSD及其他并发症的发生,选择性脑亚低温处理是一种安全、有效的急救护理措施。

Objective： To probe into influence of selective sub- hypothermia therapy on deprexsion of apoplexy patients. Methods： A total of 106 cases of patients with acute cerebral apoplexy were divided into test and control group （53 cases each） randomly. Primary disease of diabetes and complications of patients were given routine treatment and nursing care in control group. Patients of test group were given selective subhypothermia therapy based on routine treatment and nursing care. Then clinical mental states of patients in the two groups after cerebral apoplexy for two months were followed up, and complications during treatment were recorded. Results： The incidence of post- stroke depression in test group was 26.42 96 lower than that 52.83 96 in control group patients. And incidences of other complications were 11.32 % lower than that 28.30% in control group. There were statistical significance differences between the two groups （ P 〈 0.05）. Conclusion： Selective sub - hypothermia therapy for patients with acute cerebral apoplexy may reduce both the incidence of post - stroke depression and incidences of other complications. Selective sub - hypothermia is a safe and effective emergency nursing measure.~：[ ~ ~ ]~.-]-~.~,~_~ ~{~m ~ ~ ~]- ~ -~i^- ~F ~ .h, ~ （PSD） ,~ ~ ~ o [^-＇~]~ 106 ~,J,~,l^g- ~F-~）,-r~ ~, ~：~ ~~ ~：~ q, ^- （26.42%） ~＇~ -t-- xq/-,.~., t~. （ 52.83% ）, .g- -g-~ g- ~ ;K ~.. ~ （ 11.32 % ） ^-~ -t--~ ^（28.30% ）, ~ ~J ~ ^-I- ＇^-^（P〈O.05） o [ ^-~ ] x＇C,^-,t^- ~i ＊-/~ 9＂ PSD .gt.-g-＇^-,-）{-.;ex.g. ~.;ex. ^-, ~t~