老年性缺血性脑卒中后抑郁干预治疗对神经功能恢复的疗效分析(1)
摘要：目的 分析老年性缺血性腦卒中后抑郁干预治疗对神经功能恢复的影响。方法 选择2017年2月～2018年2月在我院治疗的老年性缺血性脑卒中患者140例，将其随机分为对照组和观察组，每组70例。对照组采用常规治疗，观察组在常规治疗基础上采用抑郁干预治疗，观察两组患者神经功能恢复疗效、治疗前后神经功能缺损评分、抑郁评分等情况。结果 观察组神经功能恢复有效率(71.42%)高于对照组(45.71%)，差异有统计学意义(P<0.05);治疗后两组神经功能缺损评分、抑郁评分均低于治疗前，差异有统计学意义(P<0.05)，观察组治疗后神经功能缺损评分为(13.20±5.21)分，优于对照组的(19.43±4.60)分，观察组治疗后抑郁评分为(4.10±1.51)分，优于对照组的(13.43±1.58)分，差异均有统计学意义(P<0.05)。结论 老年性缺血性脑卒中后抑郁干预治疗，可促进神经功能恢复，改善患者抑郁症状，在患者的康复中具有至关重要的作用，值得临床借鉴。
关键词：缺血性脑卒中;抑郁治疗;神经功能
, 百拇医药
中图分类号：R743.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.03.040
文章编号：1006-1959(2019)03-0125-03
Abstract：Objective To analyze the effect of depression intervention on nerve function recovery after senile ischemic stroke.Methods 140 patients with senile ischemic stroke who were treated in our hospital from February 2017 to February 2018 were randomly divided into control group and observation group with 70 cases in each group. The control group was treated with routine therapy，while the observation group was treated with depression intervention on the basis of routine treatment.The neurological function recovery， neurological deficit score and depression score before and after treatment were observed in the two groups.Results The effective rate of nerve function recovery in the observation group (71.42%) was significantly higher than that in the control group (45.71%)，the difference was statistically significant (P<0.05).After treatment，the scores of neurological impairment and depression in the two groups were significantly lower than those before treatment (P<0.05).The scores of neurological defects in the observation group after treatment were (13.20±5.21)， which were better than those in the control group (19.43±4.60)， and the scores of depression in the observation group were (4.10±1.51)， which were better than those in the control group (13.43±1.58)， with statistically significant differences (P<0.05).Conclusion The intervention treatment of senile ischemic stroke depression can promote the recovery of nerve function and improve the depression symptoms of the patients.It plays an important role in the rehabilitation of the patients and is worthy of clinical reference.
Key words：Cerebral ischemic stroke;Depression treatment;Nerve function, 百拇医药(上官建辉 唐春燕)
关键词：缺血性脑卒中;抑郁治疗;神经功能
, 百拇医药
中图分类号：R743.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.03.040
文章编号：1006-1959(2019)03-0125-03
Abstract：Objective To analyze the effect of depression intervention on nerve function recovery after senile ischemic stroke.Methods 140 patients with senile ischemic stroke who were treated in our hospital from February 2017 to February 2018 were randomly divided into control group and observation group with 70 cases in each group. The control group was treated with routine therapy，while the observation group was treated with depression intervention on the basis of routine treatment.The neurological function recovery， neurological deficit score and depression score before and after treatment were observed in the two groups.Results The effective rate of nerve function recovery in the observation group (71.42%) was significantly higher than that in the control group (45.71%)，the difference was statistically significant (P<0.05).After treatment，the scores of neurological impairment and depression in the two groups were significantly lower than those before treatment (P<0.05).The scores of neurological defects in the observation group after treatment were (13.20±5.21)， which were better than those in the control group (19.43±4.60)， and the scores of depression in the observation group were (4.10±1.51)， which were better than those in the control group (13.43±1.58)， with statistically significant differences (P<0.05).Conclusion The intervention treatment of senile ischemic stroke depression can promote the recovery of nerve function and improve the depression symptoms of the patients.It plays an important role in the rehabilitation of the patients and is worthy of clinical reference.
Key words：Cerebral ischemic stroke;Depression treatment;Nerve function, 百拇医药(上官建辉 唐春燕)