康复训练对脑卒中偏瘫患者抑郁状态的影响  

The Influence of Rehabilitation Training on Anxiety of Stroke Patients with Hemiplegia

作　　者：崔红缨[1] 王忠华[1] 邓景元[1] 崔延超[1] 张蕾[1] 

机构地区：[1]西安交通大学医学院第一附属医院康复中心针灸科,西安710061

出　　处：《中国康复》2010年第2期106-107,共2页Chinese Journal of Rehabilitation

摘　　要：目的:探讨康复训练对脑卒中偏瘫患者抑郁状态的影响。方法:90例脑卒中偏瘫患者随机分为训练组和对照组各45例,均按脑血管疾病的常规治疗。训练组患者配合康复训练,包括急性期正确肢体摆放,恢复期控制肌痉挛及肢体功能训练、ADL训练等。分别于康复训练前和训练6周后采用Barthel指数(BI)评定患者的ADL能力,焦虑和抑郁自评量表(SDS)及自尊量表(self-esteemscale,SES)评定患者的焦虑、抑郁状态和自尊水平。结果:经过6周治疗,训练组患者BI和SES评分与治疗前比较均明显提高,SAS和SDS评分明显下降(均P<0.01);对照组仅BI评分有明显提高(P<0.05)。2组间比较,训练组各项评分与对照组比较差异均有统计学意义(P<0.01)。结论:脑卒中患者配合康复训练可显著促进偏瘫肢体功能的恢复和ADL能力提高,从而减轻或消除其焦虑及抑郁情绪,提高自尊水平,对全面康复形成良性循环。Objective：To investigate the influence of rehabilitation training on anxiety of stroke patients with hemiplegia.Methods：Ninety cases of stroke were randomly divided into treatment group（45 cases）and control group（45 cases）.All patients were treated with routine therapy,and the patients in treatment group received a rehabilitation training additionally.Barthel index（BI）was used to assess activity of daily living;self-rating anxiety scale（SAS）,self-rating depression scale（SDS）and self-esteem scale（SES）were applied to assess anxiety,depression and self-esteem level before and after treatment.Results：The scores of BI and SES were increased,and SAS and SDS were decreased after rehabilitation training in treatment group as compared with control group（P0.01）.Conclusion：Rehabilitation training can promote functional recovery,improve activities of daily living,consequently alleviate or dissolve anxiety and depression,and improve the level of self-esteem in stroke patients with hemiplegia.

关 键 词：脑卒中 偏瘫 康复 抑郁 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]