舍曲林早期治疗脑卒中患者的焦虑、抑郁障碍和认知功能研究

Study on the Early Treatment of Anxiety, Depression Disorder and Cognitive Function in Stroke Patients with Stroke

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(2)
作者
作者单位

陕西省人民医院 ;

摘要
【摘要】目的:研究舍曲林早期治疗脑卒中患者的焦虑、抑郁障碍和认知功能。方法:随机选取2016年2月至2018年2月我院收治的脑卒中患者60例,依据治疗方法将这些患者分为两组,即卒中单元常规治疗组(常规治疗组,n=30)和卒中单元常规治疗基础上舍曲林早期治疗组(早期治疗组,n=30),对两组患者的HAMA评分、HAMD评分、NIHSS评分、MMSE评分、MoCA评分、BI评分进行统计分析。结果;和治疗前相比,两组患者治疗后的HAMA评分、HAMD评分、NIHSS评分均显著较低(P<0.05);治疗后和常规治疗组相比,早期治疗组患者的HAMA评分、HAMD评分、NIHSS评分均显著较低(P<0.05),但治疗前两组患者的HAMA评分、HAMD评分、NIHSS评分之间的差异均不显著(P>0.05)。和治疗前相比,两组患者治疗后的MMSE评分、MoCA评分、BI评分均显著较高(P<0.05);治疗后和常规治疗组相比,早期治疗组患者的MMSE评分、MoCA评分、BI评分均显著较高(P<0.05),但治疗前两组患者的MMSE评分、MoCA评分、BI评分之间的差异均不显著(P>0.05)。结论:舍曲林早期治疗脑卒中能够有效改善患者的焦虑、抑郁障碍和认知功能。
Abstract
【Abstract】Objective: To study the effect of sertraline in the treatment of stroke patients with anxiety, depressive disorder and cognitive function. METHODS: A total of 60 patients with cerebral stroke who were admitted to our hospital from February 2016 to February 2018 were randomly selected. The patients were divided into two groups according to the treatment method: the stroke unit routine treatment group (conventional treatment group, n=30) and Based on the routine treatment of stroke units based on the early sertraline treatment group (early treatment group, n=30), the HAMA score, HAMD score, NIHSS score, MMSE score, MoCA score, and BI score were statistically analyzed for the two groups of patients. Results; Compared with before treatment, the HAMA score, HAMD score, and NIHSS score were significantly lower in the two groups after treatment (P<0.05); the HAMA score and HAMD of the early treatment group were higher than those of the conventional treatment group after treatment. The scores and NIHSS scores were significantly lower (P<0.05), but there was no significant difference in the HAMA score, HAMD score, and NIHSS score between the two groups before treatment (P>0.05). Compared with before treatment, the MMSE score, MoCA score, and BI score were significantly higher in the two groups after treatment (P<0.05); the MMSE score, MoCA score, and the early treatment group were higher than those in the conventional treatment group after treatment. BI scores were significantly higher (P<0.05), but there was no significant difference in MMSE scores, MoCA scores, and BI scores between the two groups before treatment (P>0.05). Conclusion: Early sertraline treatment of stroke can effectively improve the patients anxiety, depression and cognitive function.
关键词
【关键词】舍曲林;早期治疗;脑卒中;焦虑、抑郁障碍;认知功能
KeyWord
【Key words】 Sertraline; Early treatment; Stroke; Anxiety, Depressive disorder; Cognitive function
基金项目
页码 309-311
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牛爽,杨谦*. 舍曲林早期治疗脑卒中患者的焦虑、抑郁障碍和认知功能研究 [J]. 国际精神病学杂志. 2019; 46; (2). 309 - 311.

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