早期抗抑郁治疗对脑卒中的疗效观察

Early time anti-despondent treatment to apoplexy curative effect observation

目的：观察早期抗抑郁治疗对脑卒中康复的疗效.方法：对84例脑卒中后抑郁症患者随机分为观察组 （抗抑郁治疗：心理干预和药物治疗）和对照组（常规治疗）,各42例,进行对照观察,治疗前后行汉密尔顿抑郁量表（HAMD）,日常生活能力Barthel指数（B I）量表进行评定其疗效.结果：观察组HAMD治疗后评分与治疗前评分显著下降（P〈0.01）,对照组治疗后评分与治疗前评分比较差异无统计学意义（P〉0.05）,Barthel指数评分与对照组比较有明显提高（P〈0.01）.结论：脑卒中后抑郁患者行早期心理干预和药物治疗能明显提高康复疗效.

Objective：Observation early time anti-despondent treatment to apoplexy recovery curative effect. Methods： The depression patient divides into the observation group stochastically after 84 example apoplexy （the anti-despondent treatment：The psychological intervention and the medicine treatment） and the control group （conventional treatment） ,each 42 examples,carry on the comparison observation, before the treatment next Hamilton despondent meter （HAMD） ,the daily life ability Barthel index （B I） the meter carries on evaluates its curative effect. Results： After the observation group HAMD treatment before grading and the treatment grades obviously drops （P〈0.01）, after the control group treats hefore grading and the treatment grades comparison difference non-statistics significance （P〉0.05）, Barthel index grading and the control group comparison has enhances obviously （P〈0. 01）. Condmion： After the apoplexy the despondent patient good early time psychology intervention and the medicine treatment can enhance the recovery curative effect obviously.