综合康复治疗脑卒中后抑郁  

Effects of Multidisciplimary Rehabilitation in the Treatment of Post-stroke Depression

作　　者：余兰芬[1] 郑婵娟[1] 夏文广[1] 华强[1] 

机构地区：[1]湖北省新华医院康复医学科,武汉430015

出　　处：《中国康复》2007年第6期405-406,共2页Chinese Journal of Rehabilitation

摘　　要：目的:探讨综合康复治疗对脑卒中后抑郁患者的影响。方法:脑卒中后抑郁患者108例,分为A、B、C 3组,均按常规处理及抗抑郁药物治疗,B组同时增加运动疗法;C组则运动疗法、作业疗法、物理疗法、针灸及心理疏导等综合康复治疗。治疗前后采用Hamilton抑郁量表(HAMD)、改良爱丁堡-斯堪的那维亚评分量表(MESSS)及简易精神状态评定量表(MMSE)及Barthel(BI)指数对患者的抑郁程度、神经功能缺损程度、认知功能及ADL能力进行评价。结果:经过8周治疗,3组患者HAMD及MESSS评分与治疗前比较均明显下降,MMSE及BI评分明显提高(P<0.01);B、C组优于A组,C组优于B组(P<0.05,0.01)。结论:综合康复治疗有助于改善脑卒中后抑郁患者的抑郁状态,促进整体功能恢复。Objective： To observe the effect of multidisciplinary rehabilitation on post-stroke depression （PSD）. Methods： 108 patients with PSD were divided into groups A. B and C. In group A, 28 cases were treated only with roufine medication; 36 cases in group B received the kinesiotherapy; and 44 cases in group C were subjected to multidisciplinary rehabilitation treatment. Changes of scores of Hamilton depression （HAMD）, Modified Edinburgh-Scandinavian Scoring Scale （MESSS）, mimi-mental state examination （MMSE）, and activity of daily living （ADL） before and after treatment in three groups were observed and evaluated. Results： After treatment for 8 weeks, the scores in group C were increased obviously, having a significant difference with those of other groups. Conclusion： Multidisciplinary rehabilitation could significantly improve the functions of patients with PSD.

关 键 词：卒中后抑郁 神经功能缺损 日常生活活动 

分 类 号：R749.1[医药卫生—神经病学与精神病学]