脑卒中合并抑郁治疗前后对比分析

目的　观察、分析脑卒中后抑郁症状的干预对患者康复的影响。方法　脑卒中合并抑郁患者 33例 ,常规脑血管病治疗同时予抗抑郁药物治疗或心理疏导 ,于治疗第 1、2、4、6周末分别进行HAMD抑郁量表评分和神经功能缺损、生活能力状态评定。结果　于 6周末HAMD评分明显降低 (P <0 0 1) ,神经功能缺损和生活能力状态评定明显减低 (P <0 0 1) ,神经功能缺损评定与HAMD评分减低有相关性 (r=0 4 4 5 ,P <0 0 1)。结论　对脑卒中后抑郁症状的干预治疗 ,不但能有效改善抑郁症状 ,而且有利于患者神经功能缺损的康复和生活能力的提高。

Analysis of curative effect of post-stroke depression

Objective To observe and analyse the role of intervenient treatment for depressed symptom recovering after stroke.Methods 33 cases of depression after stroke were treated with routine methods of cerebrovascular disease,and received psychotherapy or antidepressant therapy.All patients were assessed with Hamilton Depression Scale grade,handicap of neural function and status of self-dependent ability after treating 1,2,4,6 weeks.Results 6 weeks after treatment,Hamilton Depression Scale grade was significantly lower(P<0.01),assessment of neural handicap and status of self-dependent ability were also significantly reduced(P<0.01).there was relativity between assessment of neural handicap and lower Hamilton Depression Scale grade(r=0.445,P<0.01).Conclusion Intervenient treatment of post-stroke depression can improve the depressed symptom efficiently,moreover help to recover the neural function and improve the self-dependent ability.