卒中后抑郁对住院患者康复的影响

Influence of Post-stroke Depression on Early Restore

目的 :探讨卒中后的抑郁状态 (PSD)对住院患者早期康复的影响。方法 :采用汉密顿抑郁量表 (HAMD)、神经功能缺损评分表 (NFA)、生活能力指数 (BI)和自制随访调查表对 67例急性期卒中患者进行测评和随访。结果 :急性期PSD发生率为 3 7 3 % ,以轻、中度为主。PSD组的平均总住院时间明显高于非PSD组。随访 6个月后发现 ,PSD组的BI和NFA的改善明显低于非PSD组。结论 :PSD不仅阻碍患者的神经功能缺损和生活能力恢复 。

Objective: To study the influence of PSD (post-stroke depression) on early restore Method: 67 patients with acute stroke were evaluated with HAMD and NFA (neurological function assessment) They were followed for 6 months after discharge Results:The rate of PSD was 37%, most in mild to moderate levels Patients with PSD stayed longer in hospital than those without In follow up, patients with PSD had poor outcome in NFA Conclusion: PSD has negative influence on restore of stroke