心理障碍管理对早期脑梗死患者生活质量及预后的影响

发布时间：2018-10-15 19:57

【摘要】：目的探讨临床上实施心理障碍管理对早期脑梗死患者生活质量和预后的影响效果。方法将156例意识清醒的早期脑梗死患者随机分为观察组和对照组,每组78例,对照组给予常规药物、康复训练和饮食护理等基础治疗,观察组患者在对照组治疗基础上给予早期心理障碍管理。连续治疗30 d后用Fugl-Meyer评分与Barthel指数对两组患者的活动能力进行比较;用情绪状态量表(POMS)对患者情绪进行评价;用改良Rankin残障量表评分(mRS)评价患者预后;并用酶联免疫吸附法测定两组患者干预后血清炎性因子水平。结果治疗后观察组患者Fugl-Meyer评分与Barthel指数均优于对照组,差异有统计学意义(P0.05);治疗后观察组患者情绪状态量表中紧张-焦虑、抑郁-沮丧、疲劳-无力评分和总分显著优于对照组,差异有统计学意义(P0.05);观察组患者治疗后mRS评分优于对照组,差异有统计学意义(P0.05);治疗后观察组血清中炎性因子hs-CRP、IL-2、IL-6、TNF-α低于对照组,差异有统计学意义(P0.05)。结论在常规治疗基础上对早期脑梗死患者给予心理障碍管理有助于改善患者的运动功能和心理情绪,降低血清中炎性因子水平,对提高患者的生活质量和改善预后具有积极作用。
[Abstract]:Objective to investigate the effect of psychological disorder management on quality of life and prognosis of patients with early cerebral infarction. Methods 156 patients with early cerebral infarction with conscious consciousness were randomly divided into observation group and control group with 78 cases in each group. The control group was treated with routine drugs, rehabilitation training and diet nursing. The patients in the observation group were given early psychological disorder management on the basis of treatment in the control group. After 30 days of continuous treatment, the activity ability of the two groups was compared with the Fugl-Meyer score and Barthel index, the emotion state scale (POMS) was used to evaluate the patients' emotion, and the modified Rankin disability scale (mRS) was used to evaluate the prognosis of the patients. The levels of serum inflammatory factors were measured by enzyme linked immunosorbent assay (Elisa). Results the Fugl-Meyer score and Barthel index in the observation group were better than those in the control group (P0.05), and the scores of tension anxiety, depression and depression in the observation group were significantly higher than those in the control group (P0.05). Fatigue-weakness score and total score were significantly better than the control group, the difference was statistically significant (P0.05); the mRS score after treatment in the observation group was better than that in the control group, the difference was statistically significant (P0.05); the inflammatory factor hs-CRP,IL-2,IL-6,TNF- 伪 in the serum of the observation group was lower than that of the control group after treatment (P0.05). The difference was statistically significant (P0.05). Conclusion on the basis of routine treatment, the management of mental disorders in patients with early cerebral infarction is helpful to improve the motor function and psychological mood of the patients, and to reduce the level of inflammatory factors in serum. It can improve the quality of life and improve the prognosis of patients.
【作者单位】：浙江医院分院大内科;浙江医院神经内科;
【分类号】：R473.74

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