《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (08): 669-670.

• 专题 脑损伤及其并发症 • 上一篇    下一篇

早期康复对脑卒中后焦虑、抑郁症状的影响

王伟1; 薛迎红1; 马立华2; 魏娟1   

  1. 1.首都医科大学附属复兴医院神经内科,北京市 100038;2.东营市人民医院神经科,山东东营市 253009
  • 收稿日期:2006-02-20 出版日期:2006-08-01 发布日期:2006-08-01

Effect of Early Rehabilitation on Poststroke Anxiety and Depression

WANG Wei, XUE Ying-hong, MA Li-hua, et al   

  1. The Department of Neurology, Fuxing Hospital Affiliated to Capital University of Medical Sciences, Beijing 100038, China
  • Received:2006-02-20 Published:2006-08-01 Online:2006-08-01

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被引次数

21

摘要： 目的观察早期康复对脑卒中后焦虑、抑郁症状的影响。方法137例脑卒中偏瘫患者分为康复组(70例)和对照组(67例),均进行神经内科常规药物治疗,康复组患者同时接受早期康复治疗;对两组患者分别于治疗前和治疗3个月后进行Bathel指数(BI)、FuglMeyer运动量表(FMMS)、汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)测试。结果治疗3个月后,康复组患者的HAMD、HAMA、BI和FMMS、评分与治疗前有显著性差异(P<0.05～0.01),与对照组治疗后亦有显著性差异(P<0.05);对照组的BI、FMMS评分与治疗前有显著性差异(P<0.05);康复组抑郁发生率22.86%,焦虑发生率5.71%,对照组分别为40.30%和16.42%,两组间有显著性差异(P<0.05)。结论早期康复对脑卒中患者的焦虑及抑郁症状有明显的改善作用。

关键词: 脑卒中, 早期康复, 焦虑, 抑郁

Abstract: ObjectiveTo observe the effect of early rehabilitation on poststroke anxiety and depression.Methods137 stroke patients with hemiplegia were divided into the rehabilitation group (70 cases) and control group (67 cases). All patients in both two groups were given routine clinical treatment, but the patients in the rehabilitation group were given regular early rehabilitation. All patients were evaluated with Bathel Index (BI), Fugl-Meyer Motor Scale (FMMS), Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) before and 3 months after treatment.ResultsAfter 3 months treatment, the scores of HAMD, HAMA, BI and FMMS of patients in the rehabilitation group increased significantly compared with those before treatment ( P<0.05～0.01), and those in the control group ( P<0.05). The scores of BI and FMMS of patients in the control group after treatment also increased significantly compared with those before treatment ( P<0.05). The incidences of depression and anxiety of the rehabilitation group were 22.86% and 5.71%, those of the control group were 40.30% and 16.42%, there was a significant difference between two groups( P<0.05).ConclusionThe early rehabilitation can obviously decrease anxiety and depression of stroke patients with hemiplegia.

Key words: stroke, early rehabilitation, anxiety, depression