综合干预脑梗死后抑郁、焦虑的研究
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[摘 要] 目的：探讨综合治疗干预脑梗死后抑郁、焦虑患者对神经功能等恢复的影响。方法：将160例脑梗死后抑郁、焦虑患者随机分为治疗组和对照组，治疗组80例，在药物治疗同时进行心理治疗(对抑郁、焦虑患者进行心理疏导等，疗程4周。治疗前、后进行汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)、神经功能缺损量表(CSS)、日常生活活动能力(ADL)评估，与对照组(未行心理治疗)进行对照分析。结果：经过综合治疗4周后患者，无论抑郁、焦虑、神经功能缺损、日常生活活动能力量表评分显著低于对照组(P<0.05)。结论：药物治疗联合心理治疗有助于脑梗死后抑郁、焦虑患者情绪的改善，能明显提高神经功能缺损及日常生活活动能力的恢复，对脑梗死预后好转有积极意义。
[关键词] 脑梗死；抑郁；焦虑；综合干预
[Abstract] Objective:To investigate the effect of comprehensive treatment intervention on recovery of neurological function in patients with depression and anxiety after cerebral infarction .Methods:160 cases with depression and anxiety after cerebral infarction were randomly divided into treatment group and control group, treatment group 80 cases, given psychological treatment while in drug treatment (for psychological counseling to patients with depression and anxiety for 4 weeks). Before and after treatment,to assessment the Hamilton Depression Rating Scale (HAMD), Hamilton Anxiety Scale (HAMA),Clinical Neurological Deficit Scale (CSS), Activities of DailyLiving (ADL) ,and control analysis the control group (not do psychotherapy) ......
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