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目的探讨对卒中后抑郁患者开展早期神经康复治疗的临床疗效。方法将2015年3月—2017年3月于该院接受治疗的60例卒中后抑郁患者作为研究对象,将患者依据治疗方法的不同分为对照组(17例)、早期康复组(22例)、晚期康复组(21例),对比各组患者的临床治疗效果及HAMD与ADL评分。结果在对各组患者分别采取了相应的临床治疗措施后,其治疗总有效率分别达到了90.91%(早期康复组)、38.10%(晚期康复组)、11.76%(对照组),组间差异有统计学意义(P<0.05)。同时早期康复组治疗后的HAMD评分明显低于晚期康复组与对照组,ADL高于晚期康复组与对照组,组间对比差异有统计学意义P<0.05)。结论对卒中后抑郁患者采取早期神经康复治疗,能够显著提高患者的临床治疗效果,且有助于改善患者的抑郁症状,提高日常生活能力。
Objective To investigate the clinical effect of early neuro-rehabilitation on patients with post-stroke depression. Methods Sixty patients with post-stroke depression who were treated in our hospital from March 2015 to March 2017 were divided into control group (17 cases), early rehabilitation group (22 cases) , Late rehabilitation group (21 cases), comparing the clinical efficacy of each group of patients and HAMD and ADL score. Results After the corresponding clinical treatment measures were taken for each group of patients, the total effective rates of treatment were 90.91% (early rehabilitation group), 38.10% (late rehabilitation group) and 11.76% (control group), respectively There was statistical significance (P <0.05). At the same time, the HAMD score of the early rehabilitation group was significantly lower than that of the late rehabilitation group and the control group, and the ADL was higher than that of the late rehabilitation group and the control group. There was significant difference between the two groups (P <0.05). Conclusions Early neuropsychological rehabilitation in patients with post-stroke depression can significantly improve the clinical effect of the patients and help to improve their depressive symptoms and improve their daily living ability.