认知干预改善脑卒中后抑郁症患者神经功能和认知功能的效果分析

目的：探讨认知干预改善脑卒中后抑郁症患者神经功能和认知功能的临床疗效。方法依据干预方法不同,将方便选取的青岛大学附属医院南院区神经内科2014年5月―2015年5月收治的81例脑卒中住院患者进行分组,对照组40例给予康复医学科常规治疗；观察组41例在对照组的基础上增加认知干预,评价干预前后神经功能和认知功能改善效果。结果观察组总有效率85.37%高于对照组62.50%,P<0.05；2组干预后脑卒中神经功能缺损评分量表(CNS﹚评分[常规组(16.15±3.37﹚分,干预组(12.05±2.89﹚分]低于干预前[常规组(20.82±4.16﹚分,干预组(20.54±4.42﹚分],简明精神状态检查量表(MMSE)评分[常规组(20.22±4.83﹚分,干预组(24.34±5.07﹚分]高于干预前[常规组(16.15±4.05﹚分,干预组(15.92±4.16﹚分],P<0.05。结论认知干预能够有效改善脑卒中后抑郁症患者的抑郁状态,促进神经功能和认知功能恢复,在缩短住院时间和提高生存质量方面尤为重要。

Cognitive Intervention Neurological and Cognitive Function in Patients with Depression Effect Analysis to Improve stroke

Objective To evaluate the clinical efficacy of cognitive therapy for neurological and cognitive function improve-ment in patients with depression after stroke. Methods Convenient selection according to different interventions, the Affili-ated Hospital of Qingdao University of Southern Hospital District neurology May 2014 to May 2015 treated 81 cases of stroke inpatients group, the control group of 40 patients given conventional Rehabilitation treatment; 41 cases observed in-creased cognitive intervention in the control group based on neurological and cognitive function before and after the effect of improving the evaluation of interventions. Results The total effective rate was 85.37% higher than 62.50%, P<0.05; inter-vention group after 2 stroke neurological deficit Rating Scale (CNS) score [conventional group (16.15 ± 3.37) points, the in-tervention group (12.05 ± 2.89) points] lower than before intervention [conventional group (20.82 ± 4.16) points, the inter-vention group (20.54 ± 4.42) min], the Mini-mental state examination (MMSE) score [conventional group (20.22 ± 4.83) points, the intervention group (24.34 ± 5.07) min] higher than the previous intervention [conventional group (16.15 ± 4.05) points, the intervention group (15.92 ± 4.16) min], P<0.05. Conclusion The cognitive intervention can improve depression in patients with depression after stroke, cognitive function and promote nerve function recovery, particularly important in shorter hospital stays and improve the quality of life aspects.