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早期心理疏导对急性脑卒中后抑郁患者康复的影响
引用本文:陈后勤,张险平,倪白云,李贞. 早期心理疏导对急性脑卒中后抑郁患者康复的影响[J]. 安徽医学, 2009, 30(5): 524-526. DOI: 10.3969/j.issn.1000-0399.2009.05.011
作者姓名:陈后勤  张险平  倪白云  李贞
作者单位:芜湖市第一人民医院神经内科,241000
摘    要:目的观察早期心理疏导对急性脑卒中后抑郁患者神经功能缺损康复的影响。方法将60例初发脑卒中神经功能缺损伴卒中后抑郁患者随机分为观察组和对照组,每组30例,对照组予常规药物、肢体活动指导治疗,观察组在此基础上给予心理疏导。用Zung量表(SDS)和改良的爱丁堡斯堪的那维亚卒中量表(MESSS)分别于治疗前和治疗后进行抑郁程度及于第2、4、8周末对患者进行肌力评定。结果观察组与对照组SDS、MESSS评分治疗前差异无统计学意义(P〉0.05);治疗后第2周末观察组有低于对照组的趋势,但差异无统计学意义(P〉0.05);治疗后第4、8周末观察组低于对照组,差异有统计学意义(P〈0.05)。结论早期心理疏导对急性脑卒中后抑郁神经功能缺损康复有明显的疗效。

关 键 词:心理疏导  脑卒中后抑郁  神经功能缺损  康复

The effects of early psychological leading in patients with acute post-stroke depression on the rehabilitation of neurologic impairment
Chen Houqin,Zhang Xianping,Ni Baiyun,et al. The effects of early psychological leading in patients with acute post-stroke depression on the rehabilitation of neurologic impairment[J]. Anhui Medical Journal, 2009, 30(5): 524-526. DOI: 10.3969/j.issn.1000-0399.2009.05.011
Authors:Chen Houqin  Zhang Xianping  Ni Baiyun  et al
Affiliation:Chen Houqin,Zhang Xianping,Ni Baiyun,et al Department of Neurology,the First People,s Hospital of Wuhu,Anhui 241000
Abstract:Objective To observe the effects of early psychological leading in patients with acute post-stroke depression on the rehabilitation of neurological impairment.Methods 60 patients with first stroke with neurological impairment and post-stroke depression were divided into observation group(n=30) and control group (n=30) randomly.All the patients were treated with conventional pharmacotherapy and guidance of physical activities, and psychological leading was added to observation group. Zung scale used(SDS)was ...
Keywords:Psychological leading  Post-stroke depression  Neurological impairment  Rehabilitation  
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