氟哌噻吨美利曲辛片对脑卒中后抑郁与神经康复的干预价值.docVIP

精品论文 参考文献 氟哌噻吨美利曲辛片对脑卒中后抑郁与神经康复的干预价值 湖南省郴州市人民医院 423000 摘要：目的：探究对于脑卒中后抑郁及神经康复患者行以氟哌噻吨美利曲辛片（黛力新）治疗的具体干预价值。方法：择取本院于2014年8月到2015年2月这半年间收治的患有脑卒中后抑郁的患者共100例，按照给予的不同用药随机分为人数相等的两组，其中：观察组50例患者，全部服用黛力新，每日早、中各一片；参照组50例患者，全部服用盐酸阿米替林，每日早晚各25mg，第二周开始剂量递增。行以6周一个疗程后对比患者抑郁系数。结果：对比HAMD与SSS系数，观察组与参照组均有改善，但观察组更加显著，对比明显，P＜0.05，差异有统计学意义。观察组治疗总有效率为94%，要比参照组78%的总有效率高得多，P＜0.05，差异有统计学意义。结论：氟哌噻吨美利曲辛片的应用，可以显著降低病患脑卒中后抑郁程度与神经功能缺损度，有助于神经康复，对加速患者抑郁情况恢复有重大的干预价值。 关键词：氟哌噻吨美利曲辛片；脑卒中后抑郁；神经康复；干预价值 【abstract】objective：to explore the depression and neurological rehabilitation after stroke patients with fluorine pp thiamethoxam ton beauty QuXin piece（d force new）treatment value of specific intervention.Methods：will pick in our hospital from August 2014 to February 2014 of the half years，a total of 100 cases of patients with depression after stroke，according to the given equal the number of different drugs were randomly divided into two groups，including：the observation group of 50 cases，all take her new force，daily early，in the piece；Control group of 50 cases，all take amitriptyline hydrochloride，in the morning and 25 mg per day，the second week of dose escalation.Line in six weeks，contrast coefficient of patients with depression after a period of treatment.Results：compare the HAMD and SSS coefficient，the observation group and control group were improved，but the observation group is more significant，in contrast，P lt; 0.05，the difference was statistically significant.Observation group treatment the total effective rate was 94%，78% than the control group total effective rate is much higher，P lt; 0.05，the difference was statistically significant.Conclusion：fluorine pp thiamethoxam tons of beauty QuXin application，can significantly reduce the degree of depression after stroke patients with nerve function defect degree，help nerve rehabilitation，to speed up recovery in patients with depression have significant value of intervention. 【key words】fluorine pp thiamethoxam tons beauty QuXin piece；Depression after stro