焦虑抑郁干预治疗对再发脑梗死的影响

Effects of interventional therapy of anxiety and depression on recurrent cerebral infarction

目的:探讨脑梗死后伴有焦虑抑郁患者干预治疗对脑梗死再发的影响。方法:脑梗死后伴焦虑抑郁患者92例,随机分为治疗组和对照组各46例,在预防脑梗死再发联合治疗方案治疗基础上,治疗组应用戴安神、百忧解行抗焦虑抑郁治疗,对照组未实施药物干预,观察3年后2组脑梗死再发率、功能健康水平、焦虑抑郁情况。结果:3年后治疗组脑梗死再发率明显低于对照组(P<0.05),功能健康水平高于对照组(P<0.05),焦虑抑郁水平明显低于对照组(P<0.01);2组3年后焦虑抑郁水平均较治疗前均降低,但治疗组降低更明显(P<0.05)。结论:对脑梗死伴焦虑抑郁患者进行抗焦虑抑郁治疗,能有效预防脑梗死再发,提高功能健康水平,改善焦虑、抑郁症状。

Objective To explore the effect of interventional therapy on recurrence of cerebral infarction in patients with anxiety and depression after cerebral infarction.Methods Ninety-two patients with anxiety and depression after cerebral infarction were divided into treatment group and control group,42 cases each.The treatment group was treated with Diana God and Prozac.Control group did not receive interventional therapy.The recurrence rate of cerebral infarction,functional health level,and anxiety and depression improvement were observed after 3 years in two groups.Results In the treatment group,the recurrence rate was lower（P0.05）,the functional health level was higher（P0.01）,and the levels of anxiety and depression were lower compared to control group（P0.01） after three years.The levels of anxiety and depression were lower after three years both in two groups（P0.01,P0.05）.Conclusion Interventional therapy of anxiety and depression can effectively prevent the recurrence of cerebral infarction in patients with cerebral infarction complicated with anxiety and depression,improve functional health level and relieve the symptoms of anxiety and depression.