卒中后抑郁对患者功能康复的影响

Influence of Anxiety on Rehabilitation of Stroke Patients

目的探讨脑卒中后抑郁症的发生率及心理治疗对脑卒中患者功能康复的影响。方法对60例脑卒中患者采用抑郁自评量表(SDS)、焦虑自评量表(SAS)进行评定,随机分为干预组和非干预组,干预组除进行常规方法功能康复训练外,同时加强心理评价及治疗,非干预组常规方法进行功能康复训练。用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、斯堪的那维亚脑卒中量表(SSS)、Barthel指数(BI)评定其疗效及预后。结果干预组治疗6周后HAMD、HADA、SSS、BI分别为16.23±1.11,12.69±1.99,9.02±3.04,79.11±14.36,较非干预组有显著性差异(P<0.05)。结论抑郁、焦虑明显降低患者神经功能康复程度和生活能力恢复,心理治疗对开展脑卒中功能康复有促进作用,对患者运动功能的康复起到关键性作用。

Objective To explore the attack rate of depression combined with anxiety in acute stroke and the effect of psychotherapy to the rehabilitation of stroke patients.Methods The data of 60 patients with acute stroke were assessed by SDS and SAS,60 patients were divided into two groups randomly,one of them were treated by physiotherapy only,while others were added by psychotherapy.HAMD,HAMA,SSS,BI were assessed to observe the curative effect after treatment.Results The attack rate of depression combined with anxiety in acute stroke was 59.77%,The difference of HAMD,HAMD,SSS,BI in treatment group is obvious compared with non treatmentnt group（P〈0.05）.Conclusion Post-stroke depression and anxiety can obviously reduce the ability of daily life and nerve function rehabilitation.Psychotherapy is the key factor for the rehabilitation of stroke patients.