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目的观察氟哌噻吨美利曲辛联合综合康复训练对恢复期脑卒中患者日常生活活动能力的影响。方法选取医院2015年2月-2016年2月收治的恢复期脑卒中患者90例,采用随机数字表法分为观察组与对照组,每组45例。对照组患者接受常规治疗,观察组在对照组治疗基础上给予氟哌噻吨美利曲辛治疗,对比2组患者焦虑抑郁情绪及患者日常生活活动能力。结果 2组患者治疗前汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)比较差异无明显统计学意义(P>0.05)。治疗后2组HAMA、HAMD评分均显著降低,且观察组患者的HAMA、HAMD评分均明显低于对照组,差异均有统计学意义(P<0.05)。2组患者治疗前日常生活活动能力比较差异无统计学意义(P>0.05),治疗后2组患者日常生活活动能力均显著高于治疗前(P<0.05),且观察组患者治疗后日常生活活动能力均显著高于对照组(P<0.05)。结论针对恢复期脑卒中患者,采用氟哌噻吨美利曲辛辅助方案治疗,可有效缓解负面情绪,改善患者生活活动能力,提高康复治疗效果,促进患者生活质量持续提升,值得临床广泛推广应用。
Objective To observe the effects of flupentixol and melitrace combined with comprehensive rehabilitation training on the activities of daily living in patients with convalescent stroke. Methods Totally 90 stroke patients were recruited from February 2015 to February 2016 in the hospital, and divided into observation group and control group with 45 cases in each group. Patients in the control group received routine treatment. The observation group was given flupentixol and melitracen on the basis of the control group. The anxiety and depression and the activities of daily living in the two groups were compared. Results There was no significant difference in HAMA and HAMD between the two groups before treatment (P> 0.05). HAMA and HAMD scores decreased significantly in both groups after treatment, and HAMA and HAMD scores in the observation group were significantly lower than those in the control group (P <0.05). There was no significant difference in activities of daily living before treatment in the two groups (P> 0.05). Activities of daily living in the two groups after treatment were significantly higher than those before treatment (P <0.05), and daily life after treatment in observation group Activities were significantly higher than the control group (P <0.05). Conclusions For the patients with convalescent stroke, the use of flupentixol and melitracin adjuvant treatment can effectively relieve the negative emotions, improve the living activities of patients and improve the rehabilitation treatment, and promote the quality of life of patients continues to promote, it is widely used widely in clinical application .