脑卒中后淡漠对神经功能康复的影响

The impact of apathy on neurological functional rehabilitation after stroke

目的:观察卒中后淡漠对脑卒中康复患者神经功能缺损程度及日常生活活动能力的影响。方法:依据入选标准,选取脑卒中患者25例,卒中后淡漠患者19例,分别纳入对照组和淡漠组;两组患者均给予4周常规康复治疗;在治疗前及治疗后,应用美国国立卫生院卒中量表和改良Barthel指数对两组患者进行评估,收集评估结果,对比两组评分差异。结果:两组患者经4周康复治疗后,NIHSS评分均有降低,其中对照组分数降低较淡漠组明显,差异具有统计学意义(P<0.05);经治疗后两组ADL评分均明显升高,其中对照组分数升高较淡漠组明显,差异具有统计学意义(P<0.05)。结论:卒中后淡漠可影响患者神经功能恢复,降低日常生活活动能力,是脑卒中康复的重要影响因素。

Objective： To estimate the impact of apathy on the recovery and activities of daily living after stroke. Methods： The Apathy Assessed cohort,25 for control group and 19 for apathy group,was formed from stroke survivors participating in this study. All patients in two groups received conventional rehabilitation program for 4 weeks and were assessed by National Insitute of Health Stroke Scale and modified Barthel index. Results： After 4 weeks of rehabilitation intervention,NIHSS of patients in two groups decreased and the apathy group decreased significantly as compared with that in control group（ P〈0. 05）. While ADL of all patients increased and the apathy group increased significantly as compared with that in control group（ P〈0. 05）. Conclusion： Apathy had an important and statistically significant impact on stroke recovery and activities of daily living.