神经康复对脑卒中后合并焦虑抑郁治疗的临床疗效观察

目的探讨神经康复对脑卒中后合并焦虑抑郁治疗的疗效。方法选择87例脑卒中后合并焦虑抑郁的患者,随机分为治疗组和对照组,治疗组在口服帕罗西汀片及心理治疗的同时给予正规康复训练,对照组仅给口服帕罗西汀片及心理治疗,对两组患者在治疗前及8周后进行HAMD、HAMA、FMA、ADL的评分观察。结果治疗前两组间HAMD、HAMA、FMA、ADL评分无统计学意义,治疗8周后HAMA、HAMD评分下降,FMA、ADL评分上升,两组各项评分比较有统计学意义（P〈0.01）;同时治疗组及对照组各项评分较治疗前改善,比较有统计学意义（P〈0.01）。结论神经康复对脑卒中后合并焦虑抑郁治疗有积极疗效。

Effects of Neural Rehabilitation in Treating Stroke with Anxiety and Depression

Objective To observe the effect of neural rehabilitation in treating stroke with anxiety and depression.Method 87 stroke with anxiety and depression patients were randomly divided into two groups,studied group were given paroxetine hydrochloride and psychotherapy at the same time with rehabilitation therapy.While those in control group were only given paroxetine hydrochloride and psychotherapy.Hamilton depression rating scale（HAMD）,Hamilton anxiety scale（HAMA）,Activities of daily life（ADL）and Fugl Meyer assessment（FMA）were assessed in each patients in pre-treatment and 8 weeks later.Result After 8 weeks,the reduced scale of the HAMD and HAMA,FMA scores ADL scores raised in studied group were superior to those in control group（P0.01）.Conclusion Neutral rehabilitation have obviously therapeutic effect on stroke with anxiety and depression patients.