卒中后抑郁对神经功能恢复的影响

Influence of post-stroke depression on the recovery of nervefunction

目的:通过比较脑卒中患者出院时的治疗效果,评价脑卒中后抑郁对患者神经功能恢复的影响。方法:根据焦虑/抑郁情绪测定量表测定得分将脑卒中患者分成抑郁组50例及非抑郁组50例,比较两组患者的治疗效果并评价其神经功能恢复情况。结果:出院时疗效对比,神经功能缺损评分比较:抑郁组治愈10例(20%),非抑郁组17例(34%);抑郁组显效15例(30%),非抑郁组21例(42%);抑郁组未愈10例(20%),非抑郁组3例(6%)。两组总有效率分别为80%、94%,差异具有统计学意义(P<0.05),结果显示抑郁组神经功能恢复程度显著差于非抑郁组。结论:脑卒中后发生抑郁将严重影响脑卒中患者神经功能的恢复进程。

Objective：To compare the treatment of stroke patients discharged from hospital,and evaluate the pa-tients’post-stroke depression influence on the recovery of nerve function. Methods：According to anxiety/depression scores scale,stroke patients were divided into depression group50 cases and non-depressed group 50 cases,the pa-tients of two groups were compared,and the therapeutic effect of recovery of neurological function was evaluated. Re-sults：When patients left the hospital.Scale of clinical neurologic impairment：10 （20%）cases were cured in depression group,17（34%）cases were cured in non-depressed group;15cases（30%）moreimproved in depression group,21（42%）cases moreimproved in non-depressed group;10cases （20%）healed in depression group,3 （6%）cases did not heal in non-de-pressed group;the total effective rate of two groups was respective 80%and 94%,there was a significant difference com-pared the two groups （P＆lt;0.05）,the neurological recovery in depression group was morepoor than that of non-depres-sion group.Conclusion：Depression after stroke will seriously affect the process of recovery of neu-rological function.