老年脑卒中后抑郁症及神经功能康复的临床治疗  

Clinical Treatment of Depression and Neurological Rehabilitation after Stroke in Elderly Patients

作　　者：杨梅 YANG Mei(Department of Rehabilitation Medicine,Ganyu District People's Hospital of Lianyungang,Lianyungang,Jiangsu 222100,China)

机构地区：[1]连云港市赣榆区人民医院康复医学科,江苏连云港222100

出　　处：《大医生》2019年第7期24-25,共2页Doctor

摘　　要：目的探究老年脑卒中后抑郁症患者神经康复的治疗。方法选取连云港市赣榆区人民医院老年脑卒中后抑郁症患者200例为研究对象,以随机数字表法分为两组,每组100例。对照组实施常规药物治疗,实验组则同时实施氟西汀治疗。比较两组患者焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、BI指数、神经功能缺损(MESSS)评分及不良反应发生情况。结果实验组治疗后的SAS及SDS评分低于对照组,其BI指数及MESSS评分高于对照组(P<0.05);两组患者不良反应发生率比较差异无统计学意义(P>0.05)。结论老年脑卒中后抑郁症患者接受有效的药物治疗,可改善抑郁症状,促进其神经功能的康复,提高生活能力。Objective To investigate the treatment of neurological rehabilitation of elderly patients with poststroke depression.Methods 200 cases of senile patients with post-stroke depression in Ganyu District People's Hospital of Lianyungang were selected and were divided into two groups by a random number table method,100 per group.The control group was treated with conventional drug therapy,while the experimental group was treated with fluoxetine at the same time.The scores of SAS,SDS and MESSS,BI index,and incidence of adverse reactions between the two groups were compared.Results The SAS and SDS scores of the experimental group after treatment were lower than those of the control group,and BI index and MESSS score were higher than those of the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Elderly patients with post-stroke depression receiving effective drug treatment can improve their depressive symptoms,promote their neurological rehabilitation,and improve their ability to live.

关 键 词：老年患者 脑卒中 抑郁症 神经康复 

分 类 号：R47[医药卫生—护理学]