脑梗死后抑郁症诊断治疗的现状与未来

Diagnosis and treatment of post-stroke depression: present status and future

摘要:

本文采取综述的方法阐明脑梗死后抑郁的病因、诊断治疗的方法。脑梗后抑郁的发生率从20%～60%不等；脑梗后抑郁产生的原因是大脑损害、神经递质失衡以及病后心理平衡失调；该病既可以导致患者的躯体症状加重，造成患者的精神痛苦，又可以使患者的生活质量降低，影响患者的治疗与康复。其治疗应采取综合性的干预方法。未来应加强对该病的诊断与治疗，并对其进行管理和开展预防措施的研究。

Abstract:

In this review, we elucidated the causes, diagnosis and treatment of post-stroke depression. Its incidence ranges from 20% to 60%. It mainly results from brain damage, neurotransmitter imbalance, and psychological imbalance after stroke. This disease may not only result in aggravated somatic symptoms, causing mental suffering, but also reduce the patients’ quality of life, further affecting their treatment and rehabilitation. Its treatment should adopt comprehensive intervention. The diagnosis and treatment for the disease should be strengthened in the future, and what’s more, more efforts should be paid on its management and prevention measures.