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。对所有患者于人院时及治疗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。
Objective To investigate the clinical characteristics of post-stroke depression （PSD） and correlative factors. Methods 116 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. Results After 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）. Conclusion The PSD is correlated with psych-social circumstances except body disease.
出处
《中国康复理论与实践》
CSCD
2007年第2期141-142,共2页
Chinese Journal of Rehabilitation Theory and Practice
关键词
脑卒中
抑郁障碍
相关因素
depressive symptom
correlation factor
