CAJ | 학술논문

目的：探讨心理护理联合帕罗西汀与单纯帕罗西汀治疗脑出血术后抑郁的临床疗效。方法对脑出血术后抑郁患者86例，随机分为对照组和治疗组，各43例，对照组按临床常规治疗，同时口服盐酸帕罗西汀，20mg/d，但不使用其他抗抑郁药物。治疗组在对照组治疗基础上实施心理护理，治疗周期均为8周。结果治疗组患者HAMD评分、NHISS评分显著下降（P<0.05），临床总有效率88.37%，与对照组比较差异均具有统计学意义（P<0.05）。结论心理护理联合帕罗西汀较单纯帕罗西汀治疗脑出血术后抑郁更能有效降低HAMD评分和NHISS评分，改善抑郁症状，促进神经功能康复。
목적：탐토심리호리연합파라서정여단순파라서정치료뇌출혈술후억욱적림상료효。방법대뇌출혈술후억욱환자86례，수궤분위대조조화치료조，각43례，대조조안림상상규치료，동시구복염산파라서정，20mg/d，단불사용기타항억욱약물。치료조재대조조치료기출상실시심리호리，치료주기균위8주。결과치료조환자HAMD평분、NHISS평분현저하강（P<0.05），림상총유효솔88.37%，여대조조비교차이균구유통계학의의（P<0.05）。결론심리호리연합파라서정교단순파라서정치료뇌출혈술후억욱경능유효강저HAMD평분화NHISS평분，개선억욱증상，촉진신경공능강복。
ObjectiveTo explore the the different therapeutic effects of psychological carecombining with Paxil and drug alone for the treatment of postoperative depression of Cerebral hemorrhage.Methods86 cases of postoperative depression were ramdomly divided into two groups, the control group were treated with conventional treatment and paroxetine hydrochloride with the doze of 20mg/d by oral administration; in the treatment group, psychological care was provided in addition to the treatment of control group, the period of the treatment in both groups were 8 weeks.Results The HAMD score, NHISS score in the treatment group decreased significantly(P<0.05); the total clinical effective rate was 88.37%, which was significantly higher than that in control group(P<0.05). ConclusionPsychological care combining with Paxil can better reduce the NAMD and NHISS score, improve the depression syndrome and improve the nerve function recovery.