脑卒中后抑郁对神经功能康复的影响

目的探讨脑卒中后抑郁对神经功能康复的影响。方法根据综合医院焦虑抑郁(HAD)情绪测定量表得分将209例脑卒中患者分为抑郁组(HAD得分≥8分,58例)和非抑郁组(HAD得分<8分,151例)。进而比较2组患者的疗效,分析神经功能康复情况。结果抑郁组治愈8例(13.8%),好转31例(53.4%),未愈19例(32.8%);非抑郁组治愈49例(32.5%),好转74例(49.0%),未愈28例(18.5%),抑郁组神经功能康复情况明显差于非抑郁组,2组比较差异有非常显著意义(P<0.01)。结论脑卒中后抑郁严重影响脑卒中患者神经功能的康复,应引起临床医生足够重视。

The effect of post-stroke depression on the nerve function rehabilitation

Objective To investigate the effect of post-stroke depression on the nerve function rehabilitation.Methods According to the Hospital Anxiety/Depression Scale (HAD),209 patients with cerebral stroke were divided into two groups, one group with depression (n=58,HAD≥8),the other group without depression (n=151,HAD<8). The therapeutic effect and nerve function rehabilitation were observed and analyzed .Results For patients in group with depression,8 cases (13.8%)were complete cured,31 cases (53.4%) were partial cured,19 cases (32.8%) were not cured.For patients in group without depression,49 cases (32.5%) were complete cured,74 cases (49.0%) were partial cured,28 cases (18.5%) were not cured.The rehabilitation condition in group with depression was much worse than that in group without depression. There was a significant difference between the two groups (P<0.01).Conclusion The post-stroke depression will affect significantly nerve function rehabilitation in patient with cerebral stroke, which should be paid much attention to by clinical doctors.