论文部分内容阅读
目的:观察早期康复训练对老年急性脑梗死后抑郁和焦虑的影响。方法:选择老年急性脑梗死216例,其中,接受早期康复训练的128例为观察组,未接受早期康复训练的88例为对照组。对照组给予抗凝、抗血小板聚集、脱水、降颅压、神经细胞营养及改善脑循环等综合治疗;观察组在对照组基础上,待生命体征平稳后,采用Brunnstrom、Bobath、神经肌肉本体促进等神经促通技术和运动再学习技术进行早期康复训练。比较两组焦虑和抑郁发生情况。结果:入院24h内两组均无一例发生抑郁和焦虑;治疗后2周,两组抑郁和焦虑发生率均差异不显著(P>0.05);治疗后1个月、3个月、6个月,观察组抑郁和焦虑发生率均显著或非常显著低于对照组(P<0.05,P<0.01)。结论:早期康复训练有助于预防老年急性脑梗死后抑郁和焦虑的发生。
Objective: To observe the effect of early rehabilitation training on depression and anxiety in elderly patients with acute cerebral infarction. Methods: A total of 216 elderly patients with acute cerebral infarction were selected. Among them, 128 patients receiving early rehabilitation training were in the observation group and 88 patients who did not receive early rehabilitation training were the control group. The control group was given anticoagulant, anti-platelet aggregation, dehydration, intracranial pressure, nerve cell nutrition and improve cerebral circulation and other comprehensive treatment; observation group on the basis of the control group, until the vital signs stable, the use of Brunnstrom, Bobath, neuromuscular body to promote Such as neural network technology and exercise learning re-learning early rehabilitation training. Anxiety and depression were compared between the two groups. Results: None of the two groups had depression and anxiety within 24 hours after admission. There was no significant difference in the incidence of depression and anxiety between the two groups after 2 weeks of treatment (P> 0.05). After 1 month, 3 months and 6 months , The incidence of depression and anxiety in the observation group were significantly or very significantly lower than the control group (P <0.05, P <0.01). Conclusion: Early rehabilitation training can help prevent depression and anxiety in elderly patients with acute cerebral infarction.