早期康复训练对卒中后抑郁患者情绪影响的临床观察

Clinical Observe of Early Rehabilitation Training on the Poststroke Depression Patients

目的观察在卒中单元医疗模式下急性脑卒中患者早期肢体康复训练对卒中后抑郁情绪的影响。方法急性脑卒中伴抑郁患者69例,康复组37例,常规治疗组32例。两组患者均给予脑卒中常规药物及抗抑郁药治疗,康复组在常规治疗基础上,病情稳定48小时后开始肢体运动功能训练。分别于治疗前及治疗后14天、30天、出院后采用汉密尔顿抑郁量表(HAMD)评定抑郁程度。结果治疗后30天康复组抑郁改善程度明显优于常规治疗组,统计学有显著性差异,P<0.05。出院后3个月时抑郁复发率康复组为37.84%,常规组为70.97%。结论急性脑卒中患者早期肢体康复治疗能有效改善卒中后抑郁的临床症状,并减少出院后复发率。

Objective To observe early rehabilitation effect of acute stroke patients on poststroke depression in stroke unit medical model. Method 69 cases acute stroke patients with depression were devided into 2 groups,37 patients in the rehabilitation group, 32 patients in the conventional treatment group. Two groups of patients were given conventional stroke drugs and antidepressant treatment. Based on the conventional treatment, the rehabilitation group were received motor function training in stable condition after 48 hours. We took Hamilton depression scale to assess their level of depression, Respectively, before treatment and after treatment for 14days, 30 days, aft^r hospital discharge. Result After treatment for 30 days, depression of patients were improved in the rehabilitation group better than in the routine treatment group. There were significant differences in statistics （ P 〈 0. 05 ）. 3 months after hospital discharge, the recurrence rate of depression of the rehabilitation group was 37.84 % , other group was 70. 97%. Conclusion Acute stroke patients with early rehabilitation therapy can effectively improve the clinical symptoms of depression after stroke, and reduce the recurrence rate after discharge.