脑卒中患者早期神经康复治疗后发生抑郁的临床分析

目的探讨早期神经康复治疗脑卒中后抑郁的影响。方法选取某院治疗的首次发病的96例急性脑卒中患者,随机分为试验组和对照组,每组48人,所有患者均行常规脑血管药物治疗,试验组给予正规神经康复治疗,对照组不做康复指导培训,在患者治疗前后分别采用汉米尔顿抑郁量表(HAMD)及抑郁自评量表(SDS)评价患者抑郁的发生程度,采用中国卒中患者神经功能缺损评分(CSS)评价患者神经恢复情况,采用生活状态评分(ADL)评价患者的生活能力。结果 2组患者经不同方法治疗后提示部分患者发生轻度抑郁,但是2组在治疗后比较,试验组治疗后HAMD评分、SDS评分分别为(13.6±1.5)、(45.8±1.6)分,对照组分别为(19.3±1.2)、(51.2±1.1)分,t=20.56,t=19.27;试验组治疗后CSS评分、ADL评分分别为(12.2±1.3)、(48.3±1.2)分,对照组分别为(14.1±1.2)、(43.1±1.6)分,t=13.19,t=19.05。结论经早期神经康复治疗有助于缓解脑卒中患者抑郁的发生,有助于脑卒中患者神经功能的恢复。

Clinical Analysis of occurrence of Depression among Stroke patients with rehabilitation treatment

OBJECTIVE To investigate the situation of depression of stroke patients with early rehabilitation treatment.METHODS 96 patients with acute cerebral apoplexy were selected in our hospital,and they were randomly divided into experimental group and control group,each group has 48 people.All patients underwent conventional cerebral vascular drug treatment,and the test group was given regular rehabilitation treatment,the control group did not receive the rehabilitation training guide.The Chinese Milton Depression Scale(HAMD)and the Self-rating Depression Scale(SDS)were measured for patients before and after treatment to assess the depression severity.The Chinese stroke patients with neurological deficit score(CSS)was used to evaluate the nerve recovery among patients.The life status score(ADL)was used to evaluate the ability of patients during life.RESULTS Some patients occurred depression in the 2 groups after treatment.The HAMD score and SDS scores in the experimental group were 13.6 ± 1.5 and 45.8 ± 1.6,respectively,and were 19.3 ± 1.2 and 51.2 ± 1.1 in the control group,respectively.There was significant difference between the two groups(t = 20.56 and t = 19.27);The CSS and ADL scores in the experiment group were 12.2 ± 1.3 and 48.3 ± 1.2,respectively,and were 14.1 ± 1.2 and 43.1 ± 1.6 in the control group,respectively.There was significant difference between the two groups(t = 13.19 and t = 19.05).CONCLUSION Early rehabilitation treatment is benefit for relieving the stroke patients with depression,contribute to the recovery of neurological function in stroke patients.