卒中后抑郁中医药辨治思路浅析

An analysis on the thought of differentiation and treatment of post-stroke depression in traditional Chinese medicine

在当前全人类寿命延长、生活方式改变等诸多因素的共同作用下,脑卒中已成为我国居民第一死因疾病病种。由于脑卒中本身具有高发病率、高致残率、高病死率、高复发率等特点,以及发病后神经功能缺损致使患者生活、工作等方面能力下降,卒中后患者易产生情绪低落、烦躁等心理障碍。因此,卒中后抑郁成为脑卒中后最常见的并发症之一,如何尽早诊断并积极干预卒中后抑郁是脑病科临床研究的热点,而中医药以其不良反应小、临床效果显著成为治疗卒中后抑郁的一大法宝。

Under the combined effect of many factors such as the prolongation of human lifespan and lifestyle changes,stroke has become the first cause of death in China.Due to the characteristics of high morbidity,high disability rate,high mortality rate and high recurrence rate of stroke itself,as well as neurological deficits after the onset,the patient’s ability to live and work is reduced,and post-stroke patients are prone to depression and irritability and other mental disorders.Therefore,post-stroke depression has become one of the most common complications after stroke.How to diagnose and actively intervene post-stroke depression as early as possible is a hot spot of clinical research in the department of encephalopathy,and TCM has become a magic weapon for the treatment of post-stroke depression due to its small adyerse reactions and remarkable clinical effects.