|
脑卒中后抑郁症对偏瘫康复的影响 |
| |
周向东 郑霞荣 郭雪云 张 弘
摘要 应用美国流行病学调查中心的抑郁量表(CES-D)对脑梗塞1个月后的119例患者进行了抑郁发生率的调查，并分别于脑卒中后1、3和6个月时评定抑郁组和对照组患者神经功能缺损积分、肢体功能及日常生活活动能力，以探讨抑郁症对偏瘫康复的影响。结果显示：①脑梗塞后1个月时抑郁症的发生率为44%。②脑梗塞后3和6个月时，抑郁组患者神经功能缺损、偏瘫肢体功能和ADL能力的恢复均低于对照组，(P＜0.01，0.05)。研究表明，抑郁症是影响脑卒中后偏瘫康复的一个重要的因素。
关键词 脑卒中； 抑郁； 偏瘫
Effect of Depression on Hemiplegia Rehabilitation after Stroke
Zhou Xiangdong, Zheng Xiarong, Guo Xueyun， et al
Air Force Hangzhou Sanitarium of PLA, Hangzhou 310007
Abstract Using the depression scale developed by Center of Apidemiological Survey of USA, the incidence of depression in 119 cases one month after stroke were investigated. In order to observe the effect of depression on hemiplegia rehabilitation after stroke, the neurological deficits scores, extremity ability and activities of daily living (ADL) were assessed in the patients of depression group and control group 1, 3 and 6 months after stroke. The results were as follows: 1) The incidence of the depression symptom was 44% 1 month after stroke. The incidence of the depression symptom in the patients of left hemisphere lesions was higher than in right hemisphere lesions; 2) The recovery of the neurological deficits, extremity ability, ADL in the patients of depression group 3 and 6 months after stroke were less than in control group. These results suggest that the depression symptom after stroke is an important factor that can impede the therapeutic effects of hemiplegia rehabilitation.
Key words stroke; depression; hemiplegia; rehabilitation
脑卒中是严重危害人类健康的疾病。它不仅导致患者生理上的残疾，而且对患者认知、情感等心理过程也有较大的损害。近年来国内外学者逐渐认识到脑卒中患者存在着各种心理障碍，其中抑郁是脑卒中后最常见的情绪变化［1］。但脑卒中后抑郁症对偏瘫肢体康复影响的研究较少，我们对此进行了评价和分析。
1 资料和方法
1.1 对象 将1993～1996年间首次脑梗塞，经住院治疗1个月后(平均29±6 d)来我院康复治疗的119例患者为研究对象。所有患者均经颅脑CT或MRI检查证实，其中左半球梗塞51例，右半球梗塞42例，双侧病变者26例。全部患者均接受过康复训练及药物治疗，时间为30～45 d。
1.2 评测标准 ①采用美国国立精神卫生研究所流行病学研究中心的抑郁量表(CES-D)［2］对患者进行调查。根据得分将≥16分者划入抑郁组，＜16分者划入对照组(无抑郁者)[1] [2] 下一页
上一个医学论文： 800KHz超声波对五种药物稳定性的影响
下一个医学论文： 家属协作简易被动运动疗法对卒中急性期的康复作用
|
|
|
|
|
|
|
您现在的位置： 绿色健康网 >> 医学论文 >> 临床医学论文 >> 正文