论文部分内容阅读
目的临床观察急性脑血管病与焦虑和抑郁性障碍的关系,分析生物、心理、社会三方面干预对患者预后的影响。方法在患者发病2周、4周、12周分别采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、神经功能缺损程度进行评分。结果①急性脑血管病后焦虑和抑郁性障碍是临床比较常见并发症;②治疗组神经功能缺损程度、生活自理程度评分与对照组比较差异有显著性意义(P<0.05);治疗4、12周后治疗组汉密顿抑郁量表、汉密顿焦虑量表评分明显低于对照组(P<0.01)。结论对脑卒中后焦虑、抑郁及神经功能恢复需在原发病治疗基础上合用抗抑郁剂和/或抗焦虑剂及心理治疗干预,对神经功能恢复疗效更佳。
Objective To observe the relationship between acute cerebrovascular disease and anxiety and depression disorders and to analyze the influence of biological, psychological and social interventions on the prognosis of patients. Methods HAMD, Hamilton Anxiety Scale (HAMA) and neurological impairment were used to evaluate the patients’ morbidity at 2 weeks, 4 weeks and 12 weeks. Results ① The anxiety and depressive disorder after acute cerebrovascular disease were the most common complication in clinical practice. ② The degree of neurological deficit and self-care degree in the treatment group were significantly different from those in the control group (P <0.05). Treatment 4,12 After treatment, the Hamilton Depression Inventory and the Hamilton Anxiety Scale score in the treatment group were significantly lower than those in the control group (P <0.01). Conclusions For the recovery of anxiety, depression and neurological function after stroke, antidepressants and / or anti-anxiety agents and psychotherapy interventions should be combined on the basis of primary disease treatment, and the effect of neurological function recovery is better.