Influence of early application of citalopram on motor function recovery of patients with acute cortical cerebral infarction
10.7619/jcmp.201707002
- VernacularTitle:早期应用西酞普兰对急性皮质脑梗死患者运动功能恢复的影响
- Author:
Jing XIAO
1
;
Yuanyuan HUANG
;
Side JIANG
;
Yaobing ZOU
;
Zongren YAN
;
Mingshan TANG
Author Information
1. 重庆巴南区人民医院神经内科
- Keywords:
acute cortical infarction;
depression;
citalopram;
motor function
- From:
Journal of Clinical Medicine in Practice
2017;21(7):5-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influence of citalopram on early recovery of motor function in patients with acute cortical infarction.Methods A total of 276 patients with acute cerebral infarction were randomly divided into observation group and control group,138 cases in each group.Patients in control group were treated with anti-platelet,blood lipid,protective nerve and rehabilitation therapy.The observation group was given citalopram hydrobromide tablets on the basis of control group.Results The incidence rate of depression in the observation group was 18.1%,which was significantly lower than 42.7% in the control group (P < 0.05).After treatment,HDRS score and NIHSS score in the observation group were significantly lower than the control group (P < 0.05).In the observation group,after treatment of 30 days and 90 days,the increasing scores of hand motor function of FMA were 4.1 ± 1.0 points and 6.5 ± 2.5 points,which were significantly higher than 1.4 ± 0.7 points and 2.5 ± 1.5 points (P < 0.05).After treatment of 30 days,the BI score of observation group was significantly higher than control group (P < 0.05).Conclusion Early application of citalopram can effectively reduce the incidence rate of post-stroke depression in patients with acute cerebral infarction,promote the recovery of motor function and improve the quality of prognosis.