脑卒中患者并发抑郁症的临床探讨

Stroke patients with clinical depression investigate

目的探讨脑卒中患者并发抑郁症的临床因素和治疗措施。方法选择我院2011年6月—2013年8月收治的103例脑卒中患者,随机分为抑郁症组50例,单纯脑卒中组53例。抑郁症组中,轻型抑郁症患者给予佳乐定进行治疗,视治疗效果改用百忧解进行治疗,重型抑郁症患者直接采取百忧解进行治疗。对2组患者的肢体瘫痪、轻度语言障碍、高血压、糖尿病、房颤、社会家庭支持满意等相关指标进行对比。结果 2组患者肢体瘫痪、轻度语言障碍、高血压、糖尿病、社会家庭支持满意有显著差异(P<0.05);使用百忧解治疗后,78%的患者获得满意治疗效果。结论脑卒中后并发抑郁症概率高,其中肢体瘫痪、病变部位、家庭和社会支持度、语言障碍是导致抑郁症发生的主要因素,百忧解治疗能获得显著效果。

Objective To investigate stroke depression in patients with clinical factors and therapeutic measures. Methods Our hospital from June 2011 to August 2013 103 stroke patients admitted to suffering from depression into depression group of 50 patients, 53 cases of simple stroke group, the age of the two groups of patients, the lesion,paralysis of limbs and other factors affecting concurrent depression. Depression treatment group were treated with Prozac,its efficacy were observed. Results The two groups of gender, no significant difference（P〉0.05） occupation,age,stroke nature of the lesion, paralysis of limbs, family and social support,language barriers,a significant difference （P〈0.05）,the use of Prozac data later, 78%of patients achieved satisfactory therapeutic effect. Conclusions Depression after stroke complicated by a high probability, in which paralysis of limbs, lesions, family and social support,the language barrier is a major factor leading to the development of depression. Prozac effective treatment.