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目的 观察缺血性脑卒中抑郁对日常生活能力 (ADL)的影响。方法 对 12 7例缺血性脑卒中进行临床筛选 ,排除失语患者 4 1例 ,将 86例患者按美国DSM Ⅲ R抑郁诊断标准进行诊断 ,按Hamilton抑郁量表评分 ,将患者分为 3组 ( 1)无抑郁组患者 ;( 2 )抑郁未恢复组患者 ;( 3)抑郁恢复组患者 ,且 3组患者入院时与入院 1月时均应用改良Barthel指数进行评定。其间进行ADL训练、抗抑郁及心理干预治疗。结果 缺血性脑卒中后抑郁恢复组ADL提高较抑郁未恢复组明显 (P <0 .0 1)。结论 早期有效抗抑郁及心理干预治疗能明显提高缺血性脑卒中后抑郁患者的ADL。
Objective To observe the effect of depression on daily living ability (ADL) in ischemic stroke. Methods A total of 121 cases of ischemic stroke were screened out and 41 cases of aphasia were excluded. Eighty - six patients were diagnosed according to DSM Ⅲ R diagnostic criteria. The patients were divided into three groups according to the Hamilton Depression Rating Scale 1) patients without depression group; (2) patients with depression not recovered group; (3) patients with depression recovery group, and 3 groups of patients were assessed by modified Barthel index at admission and 1 month after admission. During which ADL training, antidepressant and psychological interventions. Results Compared with those without depression, the improvement of ADL in depression recovery group after ischemic stroke was obvious (P <0.01). Conclusion Early effective antidepressant and psychological intervention can significantly improve ADL in patients with depression after ischemic stroke.