急性脑卒中后抑郁症25例临床分析

Depression After Having Acute Cerebral Apoplexy:Analysis of 25 Cases

目的 :观察分析急性脑卒中后抑郁症的病理过程及治疗效果。方法 :统计分析 2 5例脑卒中病人的临床资料 ,特别对汉密顿抑郁量表的结果进行评价。结果 :2 5例病人中 ,脑出血 10人 ,脑梗塞 15人 ,汉密顿抑郁量表平均总分 2 4分± 5分 ,其中重度 4例 ,中度 15例 ,轻度 6例。经赛乐特治疗后 ,平均总分下降至 13分± 5分 ,其治愈率为 75 % ,显效 2 5 %。结论 :急性脑卒中后抑郁症的临床表现较功能性者轻 ,早期发现与正确治疗后 。

Objective: To observe the pathological characteristics and the clinical therapeutic effects of depression after having the cerebral apoplexy in clinic. Method: data of 25 cases with cerebral apoplexy were reviewed using the HAMD analytic way. Result: 10 of 25 cases had the brain hemorrhage, 15 had cerebral infarction. The total HAMD marker was 24±5. Among them 4, 15 and 6 cases expressed severe, mild and slight signs respectively. The HAMD mean marker decreased up to 13±5 after treatment with seroxat. The cure rate, effective rate was 75% and 25% respectively. Conclusion: The depression shows a mild sign after cerebral apoplexy compared with the functional depression.