脑卒中患者综合医院焦虑/抑郁情绪测定评分的分析及治疗

The Analysis of General Hospital Anxiety / Depression Score and Treatment of Patients with Stroke

目的:探讨脑卒中患者焦虑抑郁评分的高低及抗焦虑抑郁治疗的疗效。方法:本院2011年3月~2013年12月于本院神经内科治疗的脑卒中患者180例,对照组为健康志愿者20例,行焦虑抑郁评分。有焦虑抑郁患者行心理康复治疗及黛力新抗焦虑抑郁治疗,治疗前后行焦虑抑郁评分及采用美国国立卫生院神经功能缺损评分(NIHSS)及日常生活能力评定量表(Barthel指数,BI)对患者治疗前后生活质量评估。结果:脑卒中患者焦虑评分及抑郁评分均高于对照组。治疗后患者焦虑抑郁评分较治疗前明显改善。治疗后患者生活质量较前明显好转。治疗前后焦虑抑郁评分与美国国立卫生院神经功能缺损评分(NIHSS)呈正相关,与日常生活能力评分呈负相关。统计学均有显著差异。结论:脑卒中患者有明显的焦虑抑郁症状,联合心理治疗及抗焦虑抑郁治疗后,患者自觉生活质量改善,压力减轻,生活健康轻松。

Objective To investigate the level of anxiety and depression cores in patients with stroke and the efficacy of anti-anxiety depression treatment. Methods The Hospital Anxiety and Depression Scale( HADS) were measured in 180 patients with stroke and 20 healthy volunteers between March 2011 and December 2013. Patients with anxiety and /or depression were treated by Psychological rehabilitation and deanxit. The level of Hospital anxiety and depression scores and NIHSS and BI were compared between pre-and post-treatment. Results The level of Hospital anxiety and depression scores of patients were higher than of the contral. The level of Hospital anxiety and depression scores and quality of life of patients of patients were improved after treatment. Before and after treatment,the degree of anxiety and depression scores and NIHSS score was positive correlated,the degree of anxiety and depression scores and BI was negatively correlated. The statistics were significant differences( P < 0. 05).Conclusion The patients with stroke have significant symptoms of anxiety and depression. After jointed Psychological rehabilitation and anti-anxiety depression treatment,the patients felt the quality of life improved,stress relieved,living healthy and relaxed.