摘要
目的了解抗抑郁治疗对脑卒中后抑郁(PSD)患者预后的影响。方法选择120例因脑卒中住院并发抑郁的患者为研究对象,并分为A、B、C三组,三组均给予常规治疗,B组在此基础上予氟西汀抗抑郁治疗,C组予氟西汀联合心理治疗的抗抑郁治疗。随访观察1年。结果①治疗后各时期HAMD评分A组>B组>C组;②治疗后各时期BI评定C组>B组>A组;③治疗6个月、1年神经功能恢复效果C组>B组>A组。结论抗抑郁治疗对于PSD患者的抑郁状态及神经功能的恢复均有积极的作用。
Objective stroke depression （PSD）. To discuss Methods the prognostic results of anti - depression treatment for patients with post - 120 patients with PSD enrolled in this study were allocated to groups A, B and C. All the objects in these three groups received routine regimen for stroke. Besides basic treatment, patients in group B were given Fluoxetine for anti- depression treatment; and patients in group C received Fluoxetine in combination with psychological managements. A one - year follow- up has been performed. Results①In each stage after treatment, the HAMD scores were group A〉group B〉group C; ②In each stage after treatment, the Barthel index （BI） were as following： group C〉group B〉group A; ③Six months and one year after treatment, as far as the recovery condition of nerve function was concerned, the curative effects were as following： group C 〉group B〉 group A. Conclusion For patients with PSD, anti-depression regimens are beneficial to not only the depression state, but also the recovery of nerve function.
出处
《右江民族医学院学报》
2007年第2期186-187,共2页
Journal of Youjiang Medical University for Nationalities
关键词
脑血管意外
抑郁症饴疗
预后
cerebrovascular accident
depression/therapy
prognosis
