冯淑芝，张明义，戴志华.脑卒中后抑郁的康复疗效分析[J].中华物理医学与康复杂志,2003,(4):.-
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| 脑卒中后抑郁的康复疗效分析 |
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| DOI： |
| 中文关键词: 脑卒中 抑郁症 康复治疗 |
| 英文关键词: Post-stroke depression Rehabilitation Therapeutic effect |
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| 摘要点击次数: 2434 |
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| 中文摘要: |
| 目的探讨综合康复治疗对脑卒中后抑郁患者日常生活活动能力和抑郁心理的影响。 方法60例脑卒中后抑郁患者随机分成康复组和对照组，每组30例，康复组采取常规药物治疗和综合康复治疗（运动疗法+心理治疗），对照组仅采用常规药物治疗。在患者入选时、病程3~6个月时分别进行Barthel指数和HAMD评定。 结果与对照组比较，康复组患者Barthel指数得分在疗程3月（P<0.001）和6个月（P<0.01）时显著提高，HAMD得分在疗程3个月和6个月时则明显降低（P<0.05）。 结论综合康复治疗能够有效改善脑卒中后抑郁患者的日常生活活动能力，减轻抑郁心理。 |
| 英文摘要: |
| Objective To analyze the therapeutic effect of rehabilitation intervention for patients with post-stroke depression. MethodsSixty patients with post-stroke depression were divided randomly into a rehabilitation group(n=30) and a control group(n=30). Those in the former group were intervened with comprehensive rehabilitation programs (mainly the exercise and psychotherapy), while those in the later group only the ordinary medical drugs. 3~6 months later, therapeutic effect was assessed according to the recorded Barthel index and the HAMD scores, and a comparison was carried out between the two groups. ResultsIn comparison with the control group, the therapeutic effect was significantly better in the rehabilitation group, as shown by significant increase of Barthel index scores at 3 months (P<0.001) and 6 months(P<0.01), and a significant decrease of HAMD scores(P<0.05). ConclusionPatients with post-stroke depression can obviously benefited from comprehensive rehabilitation, as shown by the improved ADL abilities and lowered level of depression. |
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