脑梗死后早期抗抑郁治疗对早期康复的影响分析

Analysis of the influence of early antidepressant therapy on early recovery after cerebral infarction

目的探究脑梗死患者开展早期抗抑郁治疗对早期康复的影响,从而提升患者的生活质量。方法39例脑梗死患者作为研究对象,根据患者及家属意愿将其分为常规组(19例)与实验组(20例)。常规组患者给予常规治疗,实验组患者在常规组的基础上给予早期抗抑郁治疗。比较两组患者的神经功能、行为能力、生活质量、治疗效果、家属满意度。结果实验组患者的语言表达、动作能力、面瘫症状、抑郁水平、意识能力评分均高于常规组,差异均具有统计学意义(P<0.05)。实验组患者的吃饭表现、如厕能力、移动能力、肢体协调评分分别为(94.47±3.52)、(94.66±3.33)、(93.55±3.44)、(95.23±2.76)分,均高于常规组的(60.54±3.45)、(61.82±3.17)、(60.47±3.52)、(61.98±3.01)分,差异均具有统计学意义(P<0.05)。实验组患者生活质量、治疗效果、家属满意度评分分别为(95.16±4.62)、(91.67±5.76)、(96.28±2.99)分,均高于常规组的(58.92±4.75)、(60.88±5.58)、(59.84±2.64)分,差异均具有统计学意义(P<0.05)。结论临床在治疗脑梗死患者过程中,不仅要注重对患者病症的治疗,也要注重患者的心理情绪,开展早期抗抑郁治疗,可有效改善患者神经功能,临床治疗效果显著,有利于提升患者生活质量,促进患者康复,临床可广泛应用推广。

Objective To investigate the influence of early antidepressant therapy on early recovery after cerebral infarction,so as to improve the quality of life of patients.Methods A total of 39 patients with cerebral infarction as study subjects were divided into conventional group(19 cases)and experimental group(20 cases)according to the wishes of patients and their families.The conventional group received conventional therapy,and the experimental group received early antidepressant therapy based on the conventional group.The neurological function,behavior ability,quality of life,treatment effect and family satisfaction were compared between the two groups.Results The language expression,motor ability,facial paralysis symptoms,depression level,consciousness score of the experimental group were higher than those of the conventional group,and the difference was statistically significant(P<0.05).The eating performance,toileting ability,mobility,physical coordination score of the experimental group were(94.47±3.52),(94.66±3.33),(93.55±3.44)and(95.23±2.76)points,which were all higher than(60.54±3.45),(61.82±3.17),(60.47±3.52)and(61.98±3.01)points of the conventional group,and the difference was statistically significant(P<0.05).The quality of life,treatment effect,familysatisfaction score of the experimental group were(95.16±4.62),(91.67±5.76)and(96.28±2.99)points,which were all higher than(58.92±4.75),(60.88±5.58)and(59.84±2.64)points,and the difference was statistically significant(P<0.05).Conclusion In the process of clinical treatment of patients with cerebral infarction,we should not only pay attention to the treatment of patients’symptoms,but also pay attention to the psychological emotions of patients.Early antidepressant therapy shows remarkable clinical effect,which can effectively improve the neurological function of patients,and is conducive to improve the quality of life and promote the rehabilitation of patients.It can be widely used in clinical practice.