脑血管意外合并抑郁症患者对神经功能康复的影响

目的:探讨脑血管意外合并抑郁症患者对神经功能康复的影响。方法:选取2014年1月—2016年1月于我院因脑血管意外合并抑郁症的患者80例,随机分为常规治疗组(A组)和抗抑郁治疗组(B组),以40例非抑郁症的脑血管意外患者作为对照(C组),分别在治疗前和治疗后6个月通过神经功能缺损(NIHSS)评分量表比较3组患者的神经功能,通过汉密尔顿抑郁量表(HAMD)评定抑郁程度,通过匹斯堡睡眠质量指数(PSQI)量表和日常生活能力量表(ADL)评价3组患者的睡眠质量和日常生活能力以评价结果。结果:3组患者治疗前的NIHSS评分、ADL评分对比差异无统计学意义(P0.05),治疗后6个月A组的NIHSS评分高于B、C组(t=8.520,13.398;P0.05),治疗后6个月A组的ADL评分低于B、C组(t=4.370,6.694;P0.05);治疗前A、B组之间HAMD评分差异无统计学意义(P0.05),治疗6个月后A、B组HAMD评分均显著下降(t=5.112,21.238;P0.05),且B组评分显著低于A组(t=14.920,P0.05);治疗前A组和B组PSQI评分比较没有统计学差异(P0.05),治疗后6月3组的PSQI评分均显著下降(t=3.909,17.923,6.642;P0.05),且B组显著低于A组(t=13.172,P0.05)。结论:脑血管意外合并抑郁症将影响神经功能的恢复,积极给予抗抑郁处理将改善患者的睡眠质量,有利于患者生活质量的提高。

The Influence of Patients with Cerebrovascular Accident Merged Depression on Neural Functional Recovery

Objective:To study the influence of patients with cerebrovascular accident merged depression on neural functional recovery.Methods:A total of 80 cases of patients with cerebrovascular accident merged depression in our hospital was selected from January 2014 to January 2016,which randomly divided into regular treatment group (group A)and antidepressant treatment group(group B),40 cases of the cerebrovascular patients without depression as control group(C).The NIHSS score was compared between the three groups of patients to evaluate the nerve function,the HAMD scale was used to assess the degree of depression,and the PSQI scale and ADL scale evaluation of three groups of patients were used to evaluate the sleep quality and daily life ability.Results:The NIHSS score and ADL score of three groups of patients before treatment comparison had no statistical significance difference.And 6 months after treatment,group A NIHSS score were higher than B and C group(t =8.520,13.398;P <0.05),group A ADL scores were lower than B and C group (t =4.370,6.694;P <0.05);The HAMD score difference between A and B group before treatment had no statistical significance difference.And 6 months after treatment,HAMD scores of group B and group A were significantly decreased (t =5.112,21.238;P <0.05),and the score of group B was signifi-cantly lower than that of group A (t =14.920,P <0.05);The PSQI score of Group A and group B before treatment had no statistical difference,The three groups of PSQI score after treatment were significantly decreased after treat-ment for 6 months(t =3.909,17.923,6.642;P <0.05),Group B was significantly lower than that of group A(t =13.172,P <0.05).Conclusion:The cerebrovascular accident merge depression will affect the recovery of neural func-tion,which should be actively given antidepressant treatment,that will improve the sleep quality of patients and pro-mote the quality of life of patients.