脑卒中后抑郁对神经功能康复的影响研究

目的：探讨脑卒中后抑郁（Post-stroke Depression,PSD）及其对神经功能康复的影响。方法：采用临床资料回顾性分析的方法,将于2008年12月至2011年12月入住我院神经科的122例急性脑卒中患者的临床资料进行回顾性分析,分别在本组患者1、3、5个月进行PSD诊断检查,行神经功能缺损评分（SSS）、汉密尔顿抑郁量表（HAMD）以及日常生活能力评分（ADL）。结果：PSD的发生率以及严重程度与神经功能缺损与日常生活能力下降程度有着较为明显的关系,具有显著的统计学意义,P〈0.01;PSD发生率与发生的严重程度与病变所发生的具体部位以及病灶规格没有直接的关联性,其不存在统计学差异,P〉0.05。结论：PSD是急性脑血管疾病较为常见的一种并发症,而且还会影响到患者神经功能的康复的速率与康复的程度,那么应该积极地对急性脑卒中患者进行抑郁症状的治疗与改善,这样才能够确保急性脑卒中患者神经功能得以康复以及日常生活能力得以恢复。

Research on Post-stroke Depression and the Impact on Neurological Rehabilitation

Objective： To explore the post-stroke depression（Post-stroke Depression PSD） and its impact on neurological rehabilitation.Method： Using the retrospective analysis of clinical data,122 cases of acute stroke patients admitted to hospital psychiatric clinical data was given a retrospective analysis during Dec.2008 to Dec.2011.And then PSD diagnostic tests were provided at the month of 1,3,5 respectively.Mainly neurological deficit score（SSS）,the Hamilton depression scale（HAMD）,as well as activities of daily living score（ADL） were provided during the periods.Result： The incidence of PSD and severity of neurological deficits has a obvious relationship with activities of daily living decreased（P0.01）.The PSD of specific rate associated with the severity of lesions occurred parts as well as lesions specifications is no direct correlation,there was significant difference（P 0.05）.Conclusion： The PSD is a relatively common complication of acute cerebrovascular disease,but also affect the rate of recovery of neurological function in patients with the degree of rehabilitation,it should be active in the treatment and improvement of depressive symptoms in patients with acute stroke,then be able to ensure that acute stroke patients with neurological function and to rehabilitate and daily living skills to restore.