摘要
目的:探讨脑卒中后抑郁(post-strokedepression,PSD)对神经功能康复不同阶段的影响。方法:应用汉密尔顿抑郁量表(HAMD)、神经功能缺损评分标准(NFA)、运动功能测定(FMA)和日常生活活动能力测定(BI),对124例脑卒中患者的临床治疗和康复训练效果进行测评分析。结果:脑卒中伴有中重度PSD患者在临床治疗、心理干预和康复训练3个月及6个月后,HAMD,NFA,FMA,和BI各项测评指标分别为20.78～14.23分,16.80～13.82分,34.63～38.40分,38.56～38.25分,各项指标均显著低于非抑郁患者和轻度抑郁患者(t=2.002～10.336,P<0.05,0.01)。结论:脑卒中患者伴有PSD,对神经功能康复不同阶段均有较大不利影响。
AIM:To study the impacts of post-stroke depression(PSD) on the rehabilitation of neural function in different stages. METHODS:Hamilton rating scale for depression(HAMD),NFA,Fugl-Meyer motor asses sment(FMA) and Barthel index(BI) were used to assess the effects of clinic treat ment and rehabilitation training in 124 cases of patients with stroke. RESULTS:After 3 months and 6 months of clinic treatment,psychotherapy and reha bilitation training,the patients with moderate and severe PSD demonstrated much lower scores in HAMD(20.78-14.23),NFA(16.80-13.82),FMA(34.63-38.40) and BI(38 .56-38.25) as compared with the patients with mild PSD or without PSD(t=2.002- 10.336,P< 0.05,0.01). CONCLUSION:To patients with stroke,PSD has some disadvantageous impacts on the recovery of neural function at different stages.
出处
《中国临床康复》
CSCD
2004年第13期2406-2407,共2页
Chinese Journal of Clinical Rehabilitation
