控制抑郁症发病率对老年脑卒中患者康复效果和生活质量的影响

To Control the Incidence of Depression in Elderly Patients with Stroke and the Quality of Life

摘要: 目的：探讨控制抑郁症发病率对老年脑卒中患者康复效果和生活质量的影响。方法：选取2015年2月至2018年2月在我院接受治疗的146例老年脑卒中抑郁症患者作为研究对象，按照随机分配的原则平均分为两组分别为对照组和研究组，对照组患者给予常规治疗，研究组患者在常规治疗基础上给予抗抑郁药物治疗，对比两组患者精神抑郁程度及预后期康复效果和生活质量。结果：对比两组患者不同时间HAMD状况可知，治疗前两组HAMD评分相差不大，治疗后1个月、3个月、5个月时间点研究组患者HAMD评分显著优于对照组(P < 0.05)；对比两组患者治疗后生活质量情况可知，研究组患者四个生活质量分析指标数据均明显高于对照组(P < 0.05)；对比两组患者治疗效果情况可知，研究组患者治疗总有效率显著优于对照组(P < 0.05)。结论：采用抗抑郁药物使用对抑郁症发生率具有显著的控制作用；控制抑郁症程度不仅能有效的提升老年脑卒中患者生活质量，而且可以有效提升患者预后期康复效果，对临床治疗老年脑卒中患者具有重要参考价值。

Abstract: Objective: To investigate the effect of controlling the morbidity of depression on rehabilitation and quality of life in elderly patients with stroke. Methods: A total of 146 elderly patients with de-pression were enrolled in this study from February 20 to February 2018. The patients were divided into two groups according to the principle of random distribution. The patients were divided into control group and study group. The control group given the conventional treatment, the study group of patients on the basis of conventional treatment of antidepressant drugs, compared the two groups of patients with mental retardation and prognosis of rehabilitation and quality of life. Results: The HAMD scores of the two groups were not significantly different from those of the two groups at different time. The HAMD score of the study group was significantly better than that of the control group at 1 month, 3 months and 5 months after treatment (P < 0.05). Compared with the control group, the quality of life of the two groups was significantly higher than that of the control group (P < 0.05). Compared with the treatment effect of the two groups, the total effective rate of the treatment group was significantly (P < 0.05). Conclusion: The use of antidepressant drugs has a significant control effect on the incidence of depression; control of depression can not only effectively improve the quality of life of elderly stroke patients, but also can effectively improve the recovery of patients with prognosis, the clinical treatment of elderly patients with stroke has an important reference value.