【摘要】 目的 :对急性脑卒中的焦虑情绪进行测查 ,并探讨早期进行心理康复的治疗效果。方法 :180例首发急性脑卒中患者采用汉密顿焦虑量表、焦虑自评量表、社会支持量表测查及logistic多元逐步回归分析。对测查出有焦虑情绪的 12 0例患者随机分为心理组和对照组 ,均接受药物治疗 ,心理组同步进行心理康复治疗。结果 :180例患者中焦虑症状发生率为 6 6 .7% ;皮层和前部病灶焦虑分显著高于皮层下后部 ;焦虑情绪经及时心理治疗有显著改善。心理组治愈率和有效率分别为 6 5 .0 %和 93.3% ;对照组分别为 4 0 %和 6 0 % ,2组比较差异有显著性。结论 :焦虑情绪在首发急性脑卒中患者中发生率为 2 / 3。其严重程度与心理及病变部位有关。在药物治疗的同时辅以及时的心理康复可明显提高疗效。更多还原

【Abstract】 Objective: To investigate the anxious emotions of acute cerebral vascular disease and the curative effect of psychology recovery in early stage. Methods: 180 cases of acute cerebral vascular disease patients randomly selected were assessed by using 3 survey clocks including Hanmition anxiety, Anxiety evaluation and Society support and the logistic multivariate regression analysis. 120 patients who had anxious emotions were randomly divided into two groups: treatment group and control group. Both two groups were treated with the medicines, but in the treatment group, the patients were subjected to psychology recovery at the same time. Results: The occurrence rate of the anxious symptom was 66.67 %. There was significant difference in the anxious scores between the focus of infection in the front of the cortex and that in lower and posterior parts of the cortex with the former being obviously higher than the latter. The anxious emotions could be obviously improved after the patients received psychology treatment in time. The cure rate and effective rate was 65 % and 93.33 % respectively, significantly higher than in the control group (40 % and 60 % respectively). Conclusion: The occurrence rate of initial anxious emotions of acute cerebral vascular disease takes 2/3 proportion. The severity of the anxious emotions is closely related to the psychology and the position of the lesions. Medication in combined with psychology recovery treatment in time can obviously improve the curative effects.更多还原