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目的探讨应用联合治疗对缺血性脑卒中后抑郁的临床意义。方法选取100例缺血性脑卒中后抑郁患者,随机分为治疗组和对照A组、对照B组,治疗组给予心理治疗、康复训练及药物联合治疗,对照A组给予心理治疗、康复训练,对照B组给予药物、康复训练;连续治疗12周后,对3组患者进行HAMD、MESSS、ADL评分。结果治疗后治疗组HAMD、MESSS评分均显著下降(P<0.05),与对照A、B组比较差异有统计学意义(P<0.05),ADL评分高于对照A、B组,差异有统计学意义(P<0.05)。结论治疗组经心理治疗、康复训练及药物联合治疗后,缺血性脑卒中抑郁程度明显减轻,提高了患者的生活质量。
Objective To investigate the clinical significance of combined therapy on depression after ischemic stroke. Methods One hundred patients with post-stroke depression were randomly divided into treatment group and control group A, control group B, treatment group were given psychological treatment, rehabilitation training and drug combination therapy, control group A were given psychological treatment, rehabilitation training, Control group B was given drugs, rehabilitation training; continuous treatment for 12 weeks, the three groups of patients HAMD, MESSS, ADL score. Results After treatment, the scores of HAMD and MESSS in the treatment group were significantly decreased (P <0.05), the difference was statistically significant (P <0.05) compared with the control group A and B, the ADL score was higher than the control group A and B, the difference was statistically significant Significance (P <0.05). Conclusion After treatment with psychotherapy, rehabilitation training and drug combination therapy, the degree of depression in ischemic stroke is significantly reduced and the quality of life of the patients is improved.