摘要
目的 探讨在卒中后合并存在抑郁症病患治疗中应用早期神经康复疗法,对病患抑郁症状及预后质量的干预意义。方法 试验者是2020.03至2022.04在本院治疗的卒中后抑郁病患共计80例,采取随机数字表法均分2组,治疗中对照组采用常规神经康复治疗,观察组采用早期神经康复治疗,比对两组施治总疗效及康复效果指标差异。结果 经比对组间施治总疗效,观察组病患比对照组病患高,P<0.05;经比对组间康复效果,观察组病患抑郁症状、自理能力及生活质量各项指标评分比对照组病患优,P<0.05。结论 治疗早期采用神经康复疗法施治,可对病患所存在的抑郁症状进行有效改善,进一步提升临床施治疗效的同时,还能增强病患自理能力及改善其生活质量,适宜基层医院借鉴与应用。
关键词: 卒中后抑郁;早期神经康复治疗;自理能力;抑郁症状;生活质量
Abstract
Objective: To explore the intervention significance of early neurorehabilitation therapy in the treatment of patients with depression after stroke. Methods: the subjects were 80 patients with post-stroke depression treated in our hospital from March 2020 to April 2022. They were randomly divided into two groups. In the treatment, the control group was treated with routine nerve rehabilitation treatment, and the observation group was treated with early nerve rehabilitation treatment. The total curative effect and rehabilitation effect indexes of the two groups were compared. Results: after comparing the total curative effect between the treatment groups, the patients in the observation group were higher than those in the control group (P < 0.05); After comparing the rehabilitation effect between the groups, the scores of depressive symptoms, self-care ability and quality of life in the observation group were better than those in the control group (P < 0.05). Conclusion : using neurorehabilitation therapy in the early stage of treatment can effectively improve the depressive symptoms of patients, further improve the clinical treatment effect, enhance patients' self-care ability and improve their quality of life, which is suitable for reference and application in grass-roots hospitals.
Key words: Post Stroke Depression; Early Neurological Rehabilitation; Self Care Ability; Depressive Symptoms; Quality of Life
参考文献 References
[1] 刘齐芳,贺璐. 阶段性心理干预对经颅磁刺激治疗脑卒中后抑郁患者的康复效果研究[J]. 中国现代医生,2022,60(06):174-176+181.
[2] 区玉芬,谭敏珍,何小欢等. 早期认知功能训练对卒中后抑郁/焦虑患者神经功能康复和生存质量的影响[J]. 医学食疗与健康,2022,20(02):152-154+162.
[3] 谌美清,喻春梅,黄芳. 阶段性心理干预联合经颅磁刺激对卒中后抑郁患者的临床应用价值[J]. 中国现代医生,2021,59(33):180-184.
[4] 江潭耀,许秀. 正念冥想结合康复训练对卒中后抑郁患者心理及躯体功能的影响[J]. 中国医药科学,2021, 11(22): 169-172+176.
[5] 李伟栋,张瑞,苗东瑞等. 早期神经康复介入治疗在重症脑卒中患者中的应用效果及对NIHSS评分的影响[J]. 临床医学研究与实践,2021,6(31):186-188.
[6] 开金津. 西酞普兰结合早期康复训练对脑卒中抑郁患者抑郁与神经功能的影响[J]. 现代医学与健康研究电子杂志,2021,5(07):96-98.
[7] 徐平, 向绪林, 宋慧君,等. 早期神经康复治疗卒中后抑郁60例临床体会[J]. 医学临床研究, 2003.
[8] 李彩霞. 早期神经康复治疗卒中后抑郁临床分析[J]. 中国现代医生, 2011, 49(14):2.
[9] 孙云丰, 李汶轩. 早期神经康复治疗卒中后抑郁80例临床分析[J]. 亚太传统医药, 2013, 9(9):2.
[10] 陈艳芳, 李富慧, 张保朝,等. 早期神经康复治疗卒中后抑郁病人的临床研究[J]. 医药与保健, 2015(7):46-47.
[11] 刘剑英, 谢瑞满. 脑卒中后抑郁的神经康复治疗[J]. 国际中华神经精神医学杂志, 2005, 006(001):74-75,43.
[12] 陈军. 早期神经康复治疗卒中后抑郁的临床效果研究[J]. 中国医药指南, 2017, 15(22):2.
[13] 赖玉婷, 伏兰, 杜媛媛. 早期神经康复对卒中后抑郁治疗的临床体会[J]. 养生保健指南 2018年49期, 38页, 2018.
[14] 张静. 早期神经康复治疗卒中后抑郁60例临床体会[J]. 双足与保健, 2017.
[15] 任琳, 李胜迪, 陈丹. 帕罗西汀对卒中后抑郁及神经康复的影响[J]. 大家健康:学术版, 2016(4):2.
[16] 于洋, 谭佳男, 黄杰. 早期神经康复治疗用于卒中后抑郁患者中的临床效果[J]. 中国保健营养, 2016, 026(020):94.
[17] 张玉清, 石瑞英. 神经康复配合氟西汀治疗卒中后抑郁[J]. 现代医药卫生, 2006, 22(15):2.
[18] 李阔. 脑卒中患者早期神经康复治疗后发生抑郁的临床分析[J]. 现代预防医学, 2012, 39(14):2.
[19] 敬素清, 陈欢, 张希玉,等. 针刺治疗脑卒中后抑郁对神经功能康复的影响[J]. 现代医药卫生, 2018, 34(16):3.
[20] 刘剑英, 谢瑞满. 脑卒中后抑郁的神经康复治疗[J]. 国际中华神经精神医学杂志, 2005, 6(1):3.