| 早期系统心理-康复干预对脑卒中后抑郁患者功能预后的影响 |
| 投稿时间：2009-10-27 修订日期：2009-12-01 点此下载全文 |
| 引用本文：张晓钰、桑德春、季淑凤.早期系统心理-康复干预对脑卒中后抑郁患者功能预后的影响[J].医学研究杂志,2010,39(1):88-90 |
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| 中文摘要:目的探讨早期系统心理-康复对脑卒中抑郁患者功能预后的影响。 方法经汉密尔顿抑郁量表（HAMD）筛选出伴抑郁症状的80例脑卒中患者，随机分为早期系统心理-康复组和对照组，各40例，均给予神经内科常规治疗。研究组在常规治疗的基础上增加由心理医师实施的早期系统心理干预和由专业康复医师实施的运动训练，治疗满2周、4周后再对两组患者进行HAMD和神经功能缺损（CNFDS）评分并比较。 结果治疗后，两组患者的神经功能均有所恢复，但研究组HAMD评分明显低于对照组 (P<0.01)，神经功能恢复则明显优于对照组(P< 0.01)。结论早期系统心理-康复干预治疗可干预明显改善脑卒中后抑郁患者的预后。 |
| 中文关键词:早期系统心理-康复干预、卒中、抑郁、预后 |
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| The Effect of a Early Systemic Psycho-rehabilitation Intervention on Patients with Post-stroke Depression |
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| Abstract:ObjectiveTo study The effect of a early systemic psycho-rehabilitation intervention on patients with post-stroke depression.Methods80 patients with post-stroke depression were randomly divided into test group (n=40) and control group (n=40) by Hamilton’s Depression Scale (HAMD).They were treated conventionally by neurologist. The patients in test group were added systemic psychological intervention administered by psychologist and movement training administered by professional physiatrician. And then the scores to HAMD and CNFDS (clinical neurological functional defect scoring) between two groups were evaluated until 2 weeks or 4 weeks later. ResultsNerve function of the both groups was improved， and score to HAMD in the test group was less than that in control group (P＜0.01)， and also was score to CNFDS (P＜0.01). ConclusionEarly systemic psycho-rehabilitation may improve prognosis of the patients with post-stroke depression. |
| keywords:Early systemic psycho-rehabilitation intervention Post-stroke depression Prognosis |
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