早期康复训练对急性脑卒中后焦虑抑郁障碍的影响  

Effects of early rehabilitation training on anxiety and depres-sive disorder following acute stroke

作　　者：陈红[1] 邱小鹰[1] 杨明秀[1] 韦懿[1] 陈炜[1] 肖岩[1] 廖书胜[1] 

机构地区：[1]广西科技大学附属柳州市人民医院,广西柳州545006

出　　处：《临床心身疾病杂志》2015年第2期14-16,共3页Journal of Clinical Psychosomatic Diseases

基　　金：柳州市科技局科研立项课题（编号2009011102）

摘　　要：目的：探讨早期康复训练对急性脑卒中后焦虑抑郁障碍的影响。方法将280例急性脑卒中患者随机分为两组，均进行规范药物治疗及康复训练指导，康复组同时接受由康复师进行系统规范的早期综合康复训练，观察3个月。于康复训练前后采用汉密顿焦虑量表和汉密顿抑郁量表评定焦虑抑郁状况。结果康复训练3个月两组汉密顿焦虑量表和汉密顿抑郁量表评分均较训练前显著下降（P＜0.05或0.01），康复组较对照组下降更显著（P＜0.01）。结论早期康复训练能显著改善急性脑卒中患者的焦虑、抑郁情绪，对提高患者的生存质量具有重要作用。Objective To explore effects of early rehabilitation training on anxiety and depressive disorder following acute stroke .Methods A total of 280 stroke patients were randomly divided into two groups , both groups received norm medication and rehabilitation training guidance ,meanwhile to rehabilitation group system norm early rehabilitation training were given by rehabilitation trainers for 3 months .Anxie‐ty‐depression status was assessed with the Hamilton Anxiety Scale the （HAMA） and Hamilton Depression Scale （HAMD） before and after rehabilitation training .Results After 3 month training the HAMA and HAMD scores of both groups lowered more significantly compared with pre‐training （P〈0.05 or 0.01） ,so did those in rehabilitation than control group （P〈0.01） .Conclusion Early rehabilitation training could effectively improve anxious and depressive emotions of patients with acute stroke and plays an important role in improving patients’ quality of life .

关 键 词：脑卒中 早期康复训练 焦虑 抑郁 心身疾病 心身健康 生存质量 汉密顿焦虑量表 汉密顿抑郁量表 

分 类 号：R743.749.4[医药卫生—神经病学与精神病学]