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卒中后抑郁的诊断和预防策略
李萌滑美焕高立伟董艳红
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卒中后抑郁(PSD)指卒中发生后出现的一组情感障碍综合征,其诊断主要依靠抑郁症的 症状学诊断标准,病情评估则需要掌握相关评估量表的时间和范围规律。目前关于PSD 危险因素的研 究涉及神经功能、递质代谢、社会心理、氧化应激等多个领域。PSD 的预防主要包括药物干预和心理干 预,物理治疗和中医针灸等也逐渐展现出在预防发病中的优势。识别高危人群,完善PSD 的预防干预 措施,能显著降低PSD的发病率、复发率和死亡率,改善卒中患者的预后。
关键词:  抑郁  卒中  预防  神经心理量表  综述
基金项目::河北省科学技术厅项目(16397795D)
Diagnosis and prevention strategies for post-stroke depression
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Abstract:
Post stroke depression( PSD) refers to a group of affective disorder syndrome after stroke. The diagnosis of PSD depends on the diagnostic criteria of the symptomatology of depression, and disease assessment requires mastering the time and scope of the relevant assessment scale. At present, researches on the risk factors of PSD involve neural function, metabolism, psychosocial and oxidative stress. Prevention of PSD mainly includes drug intervention and psychological intervention. Besides that, physical therapy and traditional Chinese medicine also gradually show the advantages in preventing disease. Identifying high-risk groups and improving interventions for PSD can significantly reduce the incidence, recurrence rate and mortality of PSD, and improve the prognosis of patients with stroke.

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