脑卒中后抑郁的早期干预对近期康复预后的影响

Effects of treating of post-stroke depression on recovery prognosis of early stage

目的探讨脑卒中后抑郁的早期治疗对近期认知功能、运动功能及日常生活自理能力(ADL)的影响。方法脑卒中后1个月内出现抑郁患者80例,随机分为两组,均给予临床治疗、康复训练和心理护理,治疗组加用抗抑郁药,重度抑郁加心理治疗,分别于治疗前和治疗后1个月、3个月时进行单盲评定。结果治疗后两组患者的各种功能均有恢复,治疗组患者抑郁状态改善明显,其运动功能、认知功能和生活自理能力的恢复明显优于对照组(P<0.01),临床神经功能缺损程度评分减少与对照组相比有显著差异(P<0.01)。结论脑卒中后抑郁的早期治疗能明显改善患者近期的运动功能、认知功能,提高患者的生活自理能力。

Objective To study effects of treating of post stroke depression (PSD) on motor function,mental status and ADL early stage.Method 80 patients suffering from PSD within 1 month were randomly divided into two groups,the treatment group were given the anti depression drugs and psychotherapy. The monoblind evalution was done in pre treatment and post treatment 1 and 3 month respectivly.Result Depression, mental status,motor function and ADL recover in treatment group were obviously superior to those in the control group(P< 0.01),while the reducing neruodefect degree in treatment group was more obvious than that in control group(P< 0.01).Conclusion The treatment for PSD may obviously improve motor function of the limbs,mental status ,and the ability to self management may get recovery efficiently.