摘要
应用美国流行病学调查中心的抑郁量表（CES－D）对脑梗塞1个月后的119例患者进行了抑郁发生率的调查，并分别于脑卒中后1、3和6个月时评定抑郁组和对照组患者神经功能缺损积分、肢体功能及日常生活活动能力，以探讨抑郁症对偏瘫康复的影响。结果显示：①脑梗塞后1个月时抑郁症的发生率为44％。②脑梗塞后3和6个月时，抑郁组患者神经功能缺损、偏瘫肢体功能和ADL能力的恢复均低于对照组，（P＜0．01，0．05）。研究表明，抑郁症是影响脑卒中后偏瘫康复的一个重要的因素。
Using the depression scale developed by Center of epidemiological Survey of USA, the incidence of depression in 119 cases one month after stroke were investigated. In order to observe the effect of depression on hemiplegia rehabilitation after stroke, the neurological deficits scores, extremity ability and activities of daily living (ADL) were assessed in the patients of depression group and control group 1, 3 and 6 months after stroke. The results were as follows: 1) The incidence of the depression syrnptom was 44% 1 month after stroke. The incidence of the depression symptom in the patients of left hemisphere lesions was higher than in right hemisphere lesions ; 2) The recovery of the neurological deficits, extremity ability, ADL in the patients of depression group 3 and 6 months after stroke were less than in control group. These results suggest tbat the depression spoptom after stroke is an important factor that can impede the therapeutic effects of hemiplegia rehabilitation.
出处
《中国康复》
1998年第1期23-25,共3页
Chinese Journal of Rehabilitation
关键词
中风
抑郁症
偏瘫
康复
影响因素
stroke
depression
hemiplegia
rehabilitation
