缺血性卒中后抑郁状态对患者康复的影响

Affection of the Depression in Patients after Ischemic stroke on Rehabilitation

目的探讨缺血性卒中后抑郁状态对患者康复的影响。方法将缺血性卒中患者入院后NIHSS评定为7～32分的轻、中度患者,根据Zung自评量表评分后分为脑梗塞后并发抑郁症组38例,脑梗塞后无抑郁症组64例,观察两组治疗前后NIHSS评定变化。结果急性脑梗塞并发抑郁者与脑梗塞后无抑郁者,4周后其神经功能恢复存在显著差异性(P<0.05)。结论脑梗塞后抑郁状态可严重妨碍神经功能的恢复,影响患者的后期康复和预后。

Objective To discuss the affection of the depression in patients after ischemic stroke on the rehabilitation. Methods 102 cases with ischemic stroke admitted to hospital with NIHSS scores from 7 to 32 were divided into 2 groups according to the scores of Zung Self - evaluation ： cerebral infarction with the complication of depression group （ n = 38 ） and cerebral infarction without the complication of depression group （ n = 64 ） ; an observation was made to the changes of NIHSS in both groups before and after treatment. Results There existed an obvious difference in the rehabilitation of nerve function between the 2 groups 4 weeks after the attack of acute cerebral infarction （ P 〈 0. 05 ）. Conclusions Depression after cerebral infarction may seriously interfere with the rehabilitation of the nerve function and affect the prognosis.