神经损伤与功能重建2011，Vol.6Issue(6)：430-433,4.DOI:10.3870/sjsscj.2011.06.012
早期综合康复治疗对脑卒中后抑郁患者的疗效
Clinical Observation on the Effects of Early Combined Rehabilitation Therapy on Patients with Poststroke Depression
谢瑛 1魏衡 2张绿明 2赵晓丽 2赵静2
作者信息
- 1. 首都医科大学教学医院北京电力医院神经康复科,北京100073
- 2. 航天中心医院(北京大学航天临床医学院)神经内科,北京100049
- 折叠
摘要
Abstract
Objective: To explore the effects of early combined rehabilitation therapy on patients with post-stroke depression (PSD). Methods; Eighty-five patients with PSD were recruited and randomly divided into combined treatment group (w = 45) and conventional treatment group (n = 40). AH the cases had received the conventional drug treatment and rehabilitation therapy. The cases in the combined treatment group were treated with antidepressant drugs and additional psychotherapy. National Institutes of Health Stroke Scale (NIHSS). Fugl-Meyer assessment (FMA), Barthel Index (BI) and Hamilton Depression Scale (HAMD) were employed to assess all the cases before and 50 days after the treatment. Results: At 50 days after the treatment, the NIHSS score and the HAMD score of patients in the combined treatment group were significantly lower than those before the treatment (P＜0. 01) and those of patients in the conventional treatment group (P＜0. 05). The FMA score and BI score of patients in the combined treatment group were significantly higher than those before treatment and those in the conventional treatment group (P＜0.01). At fifty days post the treatment, the FMA score in the conventional treatment group was higher and the HAMD score was lower than those before treatment (F＜0. 05). Conclusion: Early combined rehabilitation therapy tan promote the neurologic functional recovery and improve the prognosis of patients with PSD.关键词
脑卒中/卒中后抑郁/康复Key words
stroke/ post-stroke depression/ rehabilitation分类
医药卫生引用本文复制引用
谢瑛,魏衡,张绿明,赵晓丽,赵静..早期综合康复治疗对脑卒中后抑郁患者的疗效[J].神经损伤与功能重建,2011,6(6):430-433,4.
