《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (02): 141-142.

• 专题　脑卒中康复 • 上一篇    下一篇

脑卒中后抑郁障碍的康复疗效及相关因素分析

郭根平1; 李杨政2; 陈茂标1; 张谦1   

  1. 1.杭州市江干区人民医院康复医学科,浙江杭州市 310016;2.浙江大学附属邵逸夫医院康复医学科,浙江杭州市 310016
  • 收稿日期:2006-06-12 出版日期:2007-02-01 发布日期:2007-02-01

Rehabilitation Therapy on Post-stroke Depression and Analysis of Correlative Factors

GUO Gen-ping, LI Yang-zheng, CHEN Mao-biao, et al   

  1. The Department of Rehabilitation Medicine, the People's Hospital of Jianggan District of Hangzhou City, Hangzhou 310036, Zhejiang, China
  • Received:2006-06-12 Published:2007-02-01 Online:2007-02-01

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摘要： 目的探讨脑卒中后抑郁障碍的临床特点及相关因素。方法将116例住院脑卒中抑郁障碍患者随机分为治疗组69例和对照组47例,治疗组采用百忧解(SSRI类)20mg/d口服,并辅以心理康复咨询(1次/d),对照组单纯采用百忧解20mg/d口服。对所有患者于入院时及治疗1个月后采用自评抑郁量表(SDS)检测。结果治疗后,两组患者的SDS评分均较治疗前降低(P<0.05～0.01),但治疗组疗效优于对照组(P<0.05)。结论脑卒中抑郁障碍除与躯体疾病有关外,还与心理社会环境因素有关。

关键词: 脑卒中, 抑郁障碍, 相关因素

Abstract: ObjectiveTo investigate the clinical characteristics of post-stroke depression (PSD) and correlative factors.Methods116 patients with PSD were randomly divided into the treatment group (n=69) and control group (n=47). The patients of the treatment group were treated with selective serotonin re-uptake inhibitors (SSRI) 20 mg/d and combined with psychological counselling, those of the control group only with SSRI. All patients were examined with Self-rating Depression Scale (SDS) when admission and one month after treatment.ResultsAfter treatment, the SDS scores of all patients in two groups decreased ( P<0.05～0.01), but the therapeutic effect of the treatment group was better than that of the control group ( P<0.05).ConclusionThe PSD is correlated with psych-social circumstances except body disease.

Key words: stroke, depressive symptom, correlation factor