【作者】 潘大津； 黄跃金； 吴绍长； 程英； 杨苏骏； 朱满莲； 徐哲明； 叶双樱；

【Author】 PATIENTS WITH POST-STROKEDEPRESSION PAN DAJIN,CHENG YING,YANG SUJUN,ZHUMANLIAN,XU ZHEMIN,WU SHONGCHANG,YE SHUANGYIN.THE SECOND PEOPLE’S HOSPITAL OF LISHUI PREFECTURE,ZHEJIANG 323000

【机构】 浙江省丽水市第二人民医院； 丽水市中心医院；

【摘要】 目的探讨早期康复治疗对脑卒中后抑郁症患者的影响。方法将60例的脑卒中后抑郁症患者,随机分为早期康复组(30例)和对照组(30例)。两组一般治疗相同,早期康复组由经过专业训练的治疗师给予系统的康复训练。采用 FUGL-MEYER、FIM、BATHEL、神经功能缺损和 HAMD 的评分定期对两组患者进行评价。结果治疗后两组间 FUGL-MEYER、FIM、BATHEL、神经功能缺损、 HAMD 评分比较有显著性差异(P<0.05);治疗8周后,早期康复组的 FUGL-MEYER、FIM、BATHEL、神经功能缺损和 HAMD 评分与疗前比较有显著性差异(P<0.05或 P<0.01)。结论早期康复治疗急性脑卒中是安全有效的,可以明显改善脑卒中患者的情感功能。更多还原

【Abstract】 OBJECTIVE TO PROVE THE EFFECT OF EARLY REHABILITATION THERAPY ON THE PATIENTS WITH POST-STROKE DEPRESSION.METHOD 60 CASES OF PATIENTS WITH POST-STROKE DEPRESSION WERERANDOMLY DIVIDED INTO THE EARLY REHABILITATION GROUP(3OSUBJECTS) AND THE CONTROL GROUP(3OSUBJECTS).ALL OF THEM RECEIVED ROUTINE TREATMENT,FURTHER MORE,THE EARLY REHABILITATION GROUP WAS TREATED WITH SYSTEMATIC REHABILITATION TRAINING BY PROFESSINAL PHYSIOTHERAPISTS.THE TWO GROUPS WERE REGULARLY EVALUATED BY FUGL-MEYER,FIM,BATHEL,SOND AND HAMD.RESULTS THE EVALUATION SCORES OF FUGL-MEYER,FIM,BATHEL,神经功能缺损 AND HAMD DEMONSTRATED THAT THERE WERE SIGNIFICANT DIFFERENCE BETWEEN TWO GROUPS AFTER TREATMENT (P<0.05),AND THAT THERE WERE SIGNIFICANT DIFFERENCE IN THE EARLY REHABILITATION GROUP AT THE END OF 8 WEEKS TREATMENT COMPARED WITH THOSE BEFORETHE TREATMENT(P<0.05 OR P<0.01). CONCLUSION THE EARLY REHABILITATION TRAINING IS VERY EFFECTIVE FOR TREATING PATIENTS WITH POST-STROKE DEPRESSION,AND MAY OBVIOUSLY IMPROVE THE AFECTIVE FUNCTION OF PATIENTS WITH POST-STROKE DEPRESSION.更多还原