艾司西酞普兰联合康复训练治疗老年脑卒中后抑郁的效果观察

Effect of escitalopram combined rehabilitation training on post-stroke depression in the elderly

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(2)
作者
作者单位

郑州市第九人民医院 ;
郑州大学第一附属医院 ;

摘要
摘要:目的:研究艾司西酞普兰联合康复训练治疗老年脑卒中后抑郁的效果及安全性。方法:选择我院2013年1月-2016年12月收治老年脑卒中后抑郁患者120例,采用随机数表法,将其分为对照组和观察组各60例,对照组给予常规脑卒中治疗和艾司西酞普兰,观察组在对照组的基础上联用康复训练,采用汉密尔顿抑郁量表(HAMD)、生活质量量表(QOL)以及副反应量表(TESS)对患者进行评分,评价疗效及不良反应。结果:治疗前,两组患者HAMD、QOL评分无差别(P>0.05);治疗后,两组患者HAMD评分明显下降,且观察组患者治疗后第4、8周HAMD评分均低于对照组,观察组患者疗效为96.7%高于对照组的81.7%,两组患者QOL评分均有提高,且观察组患者治疗后第4、8周QOL评分均高于对照组差异具有统计学意义(P<0.05);对照组不良反应总发生率为28.3%高于观察组的10.0%,差异具有统计学意义(P<0.05)。结论:采用艾司西酞普兰联合康复训练治疗老年脑卒中后抑郁患者,疗效显著,不良反应少,可以提高患者生活质量,值得临床推广。
Abstract
Abstract: Objective: Objective to study the efficacy and safety of escitalopram combined with rehabilitation training in the treatment of post-stroke depression in the elderly.Methods: Select 120 cases in our hospital in January 2013 -2016 year in December were elderly patients with depression after stroke were randomly divided into control group, and observation group with 60 cases in each group, the control group was given routine treatment of stroke and escitalopram, based on the observation group in the control group with rehabilitation training, using Hamilton Depression Scale (HAMD), quality of life scale (QOL) and side effects scale (TESS) score of patients, adverse reactions and curative effect evaluation.Results: Before treatment, two patients in the HAMD group, the QOL score had no difference (P > 0.05); after treatment, HAMD scores of the two groups were significantly decreased, and the patients in the observation group after fourth, eighth week of treatment, HAMD scores were lower than the control group, the observation group patients was 96.7% higher than that of the control group 81.7%, two groups of patients QOL scores were increased. And the patients in the observation group fourth, eighth weeks after treatment QOL score were higher than the control group. The difference was statistically significant (P < 0.05); the control group adverse reaction rates was 28.3% higher than 10% in the observation group, the difference was statistically significant (P < 0.05).Conclusion:The curative effect of escitalopram combined with rehabilitation training in elderly patients with post-stroke depression is remarkable, with less adverse reactions, which can improve the quality of life of patients, and is worthy of clinical promotion.
关键词
关键词:脑卒中后抑郁;艾司西酞普兰;康复训练;生活质量;不良反应
KeyWord
Key words:post-stroke depression; escitalopram; rehabilitation training; quality of life; adverse reaction
基金项目
页码 327-329
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苏国锋*,谢旭华,周闯,马晓燕,王静,李雷雯. 艾司西酞普兰联合康复训练治疗老年脑卒中后抑郁的效果观察 [J]. 国际精神病学杂志. 2018; 45; (2). 327 - 329.

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