老年性缺血性脑卒中后抑郁干预治疗对神经功能恢复的疗效分析
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摘要
目的分析老年性缺血性脑卒中后抑郁干预治疗对神经功能恢复的影响。方法选择2017年2月～2018年2月在我院治疗的老年性缺血性脑卒中患者140例,将其随机分为对照组和观察组,每组70例。对照组采用常规治疗,观察组在常规治疗基础上采用抑郁干预治疗,观察两组患者神经功能恢复疗效、治疗前后神经功能缺损评分、抑郁评分等情况。结果观察组神经功能恢复有效率(71.42%)高于对照组(45.71%),差异有统计学意义(P<0.05);治疗后两组神经功能缺损评分、抑郁评分均低于治疗前,差异有统计学意义(P<0.05),观察组治疗后神经功能缺损评分为(13.20±5.21)分,优于对照组的(19.43±4.60)分,观察组治疗后抑郁评分为(4.10±1.51)分,优于对照组的(13.43±1.58)分,差异均有统计学意义(P<0.05)。结论老年性缺血性脑卒中后抑郁干预治疗,可促进神经功能恢复,改善患者抑郁症状,在患者的康复中具有至关重要的作用,值得临床借鉴。
Objective To analyze the effect of depression intervention on nerve function recovery after senile ischemic stroke.Methods 140 patients with senile ischemic stroke who were treated in our hospital from February 2017 to February 2018 were randomly divided into control group and observation group with 70 cases in each group. The control group was treated with routine therapy,while the observation group was treated with depression intervention on the basis of routine treatment.The neurological function recovery, neurological deficit score and depression score before and after treatment were observed in the two groups.Results The effective rate of nerve function recovery in the observation group(71.42%) was significantly higher than that in the control group(45.71%),the difference was statistically significant( P <0.05).After treatment,the scores of neurological impairment and depression in the two groups were significantly lower than those before treatment( P <0.05).The scores of neurological defects in the observation group after treatment were(13.20±5.21), which were better than those in the control group(19.43±4.60), and the scores of depression in the observation group were(4.10±1.51), which were better than those in the control group(13.43 ±1.58), with statistically significant differences(P <0.05).Conclusion The intervention treatment of senile ischemic stroke depression can promote the recovery of nerve function and improve the depression symptoms of the patients.It plays an important role in the rehabilitation of the patients and is worthy of clinical reference.
Objective To analyze the effect of depression intervention on nerve function recovery after senile ischemic stroke.Methods 140 patients with senile ischemic stroke who were treated in our hospital from February 2017 to February 2018 were randomly divided into control group and observation group with 70 cases in each group. The control group was treated with routine therapy,while the observation group was treated with depression intervention on the basis of routine treatment.The neurological function recovery, neurological deficit score and depression score before and after treatment were observed in the two groups.Results The effective rate of nerve function recovery in the observation group(71.42%) was significantly higher than that in the control group(45.71%),the difference was statistically significant( P <0.05).After treatment,the scores of neurological impairment and depression in the two groups were significantly lower than those before treatment( P <0.05).The scores of neurological defects in the observation group after treatment were(13.20±5.21), which were better than those in the control group(19.43±4.60), and the scores of depression in the observation group were(4.10±1.51), which were better than those in the control group(13.43 ±1.58), with statistically significant differences(P <0.05).Conclusion The intervention treatment of senile ischemic stroke depression can promote the recovery of nerve function and improve the depression symptoms of the patients.It plays an important role in the rehabilitation of the patients and is worthy of clinical reference.
引文
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[8]龙洁,刘永珍,蔡焯基,等.卒中后抑郁状态的发生率及临床治疗研究[J].中华神经科杂志,2014,34(3):145-148.
[9]张国利,曾湘良.脑卒中后抑郁相关因素与患者预后分析研究[J].中国医药导报,2015,9(22):52-53.
[2]刘喜艳,甄微,张钦聪,等.脑卒中后抑郁治疗与预防[J].中国老年学杂志,2018,38(4):1010-1014.
[3]张红梅,张红亚,梁炜.老年脑卒中后抑郁与血清脑源性神经营养因子的相关性研究[J].中国实用神经疾病杂志,2016,19(16):111.
[4]林康,陈明磊.老年性缺血性脑卒中后抑郁干预治疗对神经功能恢复的疗效分析[J].海南医学院学报,2014,17(5):618-620.
[5]许可,王顺先,王晓明,等.rTMS合并抗抑郁药对中风后抑郁的临床治疗[J].川北医学院学报,2006,21(2):116-118.
[6]曾令海.抗抑郁治疗对老年急性缺血性卒中患者神经功能缺损及抑郁发生的疗效观察[J].医学信息,2016,29(1):232.
[7]李晓英.舒适护理对缺血性脑卒中后抑郁的影响[J].河北医药,2013,35(10):1591-1592.
[8]龙洁,刘永珍,蔡焯基,等.卒中后抑郁状态的发生率及临床治疗研究[J].中华神经科杂志,2014,34(3):145-148.
[9]张国利,曾湘良.脑卒中后抑郁相关因素与患者预后分析研究[J].中国医药导报,2015,9(22):52-53.