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目的:探讨脑梗死后伴有焦虑抑郁患者干预治疗对脑梗死再发的影响。方法:脑梗死后伴焦虑抑郁患者92例,随机分为治疗组和对照组各46例,在预防脑梗死再发联合治疗方案治疗基础上,治疗组应用戴安神、百忧解行抗焦虑抑郁治疗,对照组未实施药物干预,观察3年后2组脑梗死再发率、功能健康水平、焦虑抑郁情况。结果:3年后治疗组脑梗死再发率明显低于对照组(P<0.05),功能健康水平高于对照组(P<0.05),焦虑抑郁水平明显低于对照组(P<0.01);2组3年后焦虑抑郁水平均较治疗前均降低,但治疗组降低更明显(P<0.05)。结论:对脑梗死伴焦虑抑郁患者进行抗焦虑抑郁治疗,能有效预防脑梗死再发,提高功能健康水平,改善焦虑、抑郁症状。
Objective: To investigate the effect of intervention on the recurrence of cerebral infarction in patients with anxiety and depression after cerebral infarction. Methods: Ninety-two patients with anxiety and depression after cerebral infarction were randomly divided into treatment group and control group, with 46 cases in each group. On the basis of prevention and treatment of recurrent cerebral infarction, the patients in the treatment group received Diane Shen Treatment, the control group did not implement drug intervention, observed three years after the two groups of cerebral infarction recurrence rate, functional health level, anxiety and depression. Results: The relapse rate of cerebral infarction in the treatment group after 3 years was significantly lower than that in the control group (P <0.05). The functional health level was higher in the treatment group than in the control group (P <0.05). The level of anxiety and depression in the treatment group was significantly lower than that in the control group (P <0.01). The levels of anxiety and depression in both groups after 3 years were lower than those before treatment, but the reduction in the treatment group was more obvious (P <0.05). Conclusion: The treatment of anxiety and depression in patients with cerebral infarction and anxiety and depression can effectively prevent recurrence of cerebral infarction, improve functional and health level, and improve symptoms of anxiety and depression.