【作者】 王继禹； 李玉凤； 原洁；

【Author】 WANG-jiyu,LI-yufeng,YUAN-jie (Shanxi Province,the spirit of Remembrance Corning Hospital 030800)

【机构】 山西省荣军精神康宁医院；

【摘要】 目的探讨脑梗塞恢复期抑郁的临床特点及治疗。方法选取2003年1月—2007年12月在我院住院治疗的脑梗塞恢复期伴发抑郁的38例患者,采用自制的一般情况调查表及汉密尔顿抑郁量表(HAMD)对病人进行评定。对抑郁症患者给予氟西汀治疗,并用汉密尔顿抑郁量表(HAMD)、日常生活能力量表(ADL)及神经功能缺损量表(SSS)对治疗前后进行评分比较。结果脑梗塞伴发抑郁的发生是多因素共同作用的结果,神经功能缺损、肢体功能残疾、伴有基础疾病及经济地位低下、丧偶、无医疗保障及家庭不和等都是引起梗塞后抑郁的原因。用氟西汀治疗有效,治疗前后HAMD、ADL、SSS的评分比较都有显著性差异,P<0.01。结论脑梗塞恢复期伴发抑郁直接影响脑梗塞患者的预后,应该及早诊治。更多还原

【Abstract】 OBJECTIVE Convalescent cerebral infarction depression to explore the clinical features and treatment.METHODS Selected in January 2003—2007 year in December in our hospital—patient treatment of cerebral infarction associated with recovery of 38 cases of patients with depression,self—made questionnaire general situation and Hamilton Depression Rating Scale(HAMD) of patients assessed.In patients with depression to fluoxetine in the treatment given,and Hamilton Depression Rating Scale(HAMD),activities of daily living scale (ADL) and neurological deficit Scale(SSS) score before and after treatment comparison. RESULTS The occurrence of depression after cerebral infarction is the result of factors, neurological deficits,physical functional disability,with the basis of disease and economic status,widowed,non-medical protection and family are caused by depression after infarction reasons.Effective use of fluoxetine in the treatment,treatment before and after the HAMD,ADL,SSS the score comparison has significant difference,P<0.01.CONCLU SIONS Cerebral recovery Depression a direct impact on the prognosis of patients with cerebral infarction,it should be early diagnosis and treatment.更多还原