脑卒中后抑郁早期干预对神经功能康复的影响

目的：探讨脑卒中后抑郁早期干预对神经功能康复的影响。方法：将96例脑卒中后抑郁患者随机分为治疗组50例和对照组46例；两组均进行常规原发病治疗和康复训练，治疗组同时进行药物治疗和心理治疗。经HAMD量表评定抑郁状态，分别于治疗前及治疗后第1、2、3、4周进行评定。结果：治疗组与对照组对比分析，HAMD量表评定均有明显改善，差异有统计学意义（P〈0．01）。结论：抑郁早期干预不仅能有效改善脑卒中后抑郁患者心境，同时可降低卒中患者的致残率。促进神经功能康复。

Early intervention on post-stroke depression of nerve function recovery

Objective： To investigate the early intervention post-stroke depression on recovery of neurological function. Methods： 96 patients with poststroke depression were randomly divided into treatment group of 50 patients and a control group of 46 patients; the primary disease in both groups for routine treatment and rehabilitation training, treatment group, while drug treatment and psychological treatment. Assessed by the HAMD depression scale, respectively, before treatment and after treatment 1, 2, 3, 4 weeks assessed. Results： The treatment group compared with the control group, HAMD rating scale were significantly improved, the difference was significant （P〈0.01）. Conclusion： Early intervention depression can not only improve mood in patients with post-stroke depression, stroke patients can reduce both morbidity and promoting neurological recovery.