卒中单元对卒中后抑郁状态神经功能康复的影响  

Effect of stroke unit on comprehensive function rehabilitation after stroke

作　　者：王辉兰[1] 朱治山[1] 李刚[1] 

机构地区：[1]深圳市第五人民医院神经内科,广东深圳518001

出　　处：《海南医学》2011年第1期18-20,共3页Hainan Medical Journal

摘　　要：目的观察卒中单元治疗卒中后抑郁状态神经功能康复的疗效。方法将78例卒中后抑郁状态患者随机分为普通病房组和卒中单元组。卒中单元组给予药物和早期康复治疗,包括职业训练、语言训练、吞咽功能锻炼、物理治疗、神经心理以及日常生活活动能力训练和指导,普通病房组单纯给予药物治疗。采用HAMD评分、NIHSS卒中评分评价患者治疗前、治疗4周及出院第12周的神经功能及抑郁状态的变化。结果卒中单元组神经功能缺损评分(NIHSS)由(19.9±6.6)分减少为(14.2±4.7)分(治疗4周后)、(10.4±3.4)分(出院12周后),与对照组比较差异有统计学意义(P<0.05),抑郁评分(HAMD)由(20.12±6.7)下降为(5.8±1.9)分(治疗4周后)、(3.9±1.2)分(出院12周后),与对照组比较差异有统计学意义(P<0.01)。结论卒中单元管理模式能够有效地改善卒中后抑郁状态神经功能的康复。Objective To evaluate advantages of stroke unit on nerve function rehabilitation after stroke depression.Methods 78 cases of stroke patients were randomly divided into stroke unit and general ward.Stroke unit was treated with drug and early rehabilitation,including occupational training,swallowing training,physical treatment,neuropsychology,activities of daily life training for four weeks,general ward was treated with drug only.NIHSS,HAMD were taken as the value target.Results Compared to the general ward,scores of NIHSS and HAMD in stroke unit decreased significantly [（19.9±6.6） vs（14.2±4.7 after 4 weeks）,（10.4±3.4 after 12 weeks）],[（20.12±6.7） vs（5.8±1.9 after 4 weeks）,（3.9±1.2 after weeks）]（P0.01）,respectively.Conclusion Stroke unit can effectively improve nerve function rehabilitation to post-stroke depression.

关 键 词：卒中单元 卒中后抑郁状态 神经功能康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]