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对112例脑卒中患者抑郁症进行研究。其中脑梗塞81例,脑出血31例,均由CT和/或MRI证实。采用老年抑郁量表进行测试,在卒中后至少15天进行。结果发现门诊18例脑卒中患者出现抑郁4例(22.2%),包括重症2例。住院94例中出现抑郁31例(33%),包括重症9例。总抑郁发生率为31.2%,重症抑郁9.8%。脑卒中后出现抑郁与脑卒中后无抑郁出现的患者比较年龄、性别、职业、卒中性质、病变部位和病程无明显差别(P>0.05)。伴有瘫痪患者出现抑郁的发生率比无瘫痪患者明显增高(P<0.05)。23例中风后抑郁使用百忧解治疗,随访18例,1个月时症状完全消失者13例(72.2%),1个月时总有效率为88.9%。1例出现皮疹等过敏反应。
Depression in 112 stroke patients was studied. Among them, 81 cases of cerebral infarction and 31 cases of cerebral hemorrhage were confirmed by CT and / or MRI. The test was conducted using the Depression Scale for Geriatrics and was performed at least 15 days after stroke. The results showed that 18 outpatients with stroke in patients with depression in 4 cases (22.2%), including severe cases in 2 cases. There were 31 cases of depression (33%) in hospitalized 94 cases, including 9 cases of severe disease. The overall incidence of depression was 31.2%, severe depression 9.8%. There were no significant differences in age, gender, occupation, stroke characteristics, lesion location and course of disease between depression and post-stroke depression-free patients (P> 0.05). The incidence of depression in patients with paralysis was significantly higher than those in patients without paralysis (P <0.05). 23 cases of depression after treatment with Prozac treatment, 18 cases were followed up, 1 month symptoms completely disappeared in 13 cases (72.2%), 1 month, the total effective rate was 88.9%. One case had an allergic reaction such as rash.