摘要
目的探讨长春西汀联合心理护理干预对脑卒中后心理状态、神经及认知功能的影响。方法选择脑卒中伴有抑郁和焦虑患者74例,随机分为观察组和对照组。两组患者予以营养脑细胞及改善脑微循环等治疗,观察组在此治疗基础上予以长春西汀联合综合性心理护理干预治疗,对照组在此治疗基础上予以单纯长春西汀治疗,两组疗程均为2周。结果治疗2周后,两组患者HAMD和HAMA评分均有明显下降(P<0.05或P<0.01),且观察组下降的幅度显著优于对照组(P<0.05);同时两组患者CNS评分较前明显下降,FMA评分和MMSE评分均较前明显上升(P<0.05或P<0.01),且观察组下降或上升幅度显著优于对照组(P<0.05)。结论长春西汀联合心理护理干预利于患者抑郁和焦虑症状的改善,促进患者神经和运动功能的恢复,改善患者的认知功能,减少患者致残率和病死率,改善患者预后。
Objective To investigate the effect of vinpocetine combined with psychological nurse intervention on mental state, neurological and cognitive function after stroke. Methods A total of 74 patients with stroke associated with depression and anxiety were randomly divided into observation group and control group. Patients in both groups were given treatment of nourishing brain cell and improving the cerebral microcirculation, the observation group were given Vinpocetine combined with comprehensive psychological nurse intervention on the basis, while the control group were given pure vinpocetine treatment on the basis. Both groups were treated for 2 weeks. Results HAMD and HAMA scores of the two groups were significantly decreased（P 〈 0.05） or （P 〈 0.01） .compared with before after two weeks of treatment, and the amplitude of decrease in the observation group was more obvious than that in the control group （P 〈 0. 05）;CNS scores in both groups of patients were significantly decreased and FMA score and MMSE score were increased significantly（P 〈 0.05） or （P 〈 0.01） than before, and the extent of decline or rise in the observation group were more significant （P 〈 0.05） compared with those in the control group. Conclusion Vinpocetine combined with psychological nurse intervention can significantly improve patients＇ depression and anxiety symptoms, and promote the recovery of patients with neurological and motor function, which will help to improve the patient＇s cognitive function, reduce the morbidity and mortality of patients, and improve the prognosis of patients.
出处
《中国现代医生》
2013年第14期112-114,共3页
China Modern Doctor
关键词
脑卒中
抑郁
焦虑
长春西汀
心理护理
Stroke
Depression
Anxiety
Vinpocetine
Psychological nurse
