卒中后抑郁的临床康复治疗进展

Recent advances in the rehabilitation treatment of post-stroke depression

卒中后抑郁(PSD)是卒中后常见的并发症,也是疾病恢复过程中重要的阻碍因素.该病发病率较高,严重影响患者的康复预后和生活质量,深受临床关注.目前已有大量的深入研究普遍认为,早发现、早治疗对疾病的恢复起到显著的正性作用.PSD治疗方法 多种多样,以西医药物治疗为主,其他方法 有心理疏导、康复治疗、中药治疗、针灸疗法等,各种治疗方法 均有一定优势.本文对近5年内临床治疗此病的主要方法 加以概述,从西医治疗和中医治疗两个方面分述,主要包括西药/中药治疗、心理/情志干预、早期康复训练、物理疗法、针刺治疗、灸法治疗等方法 ,以期了解我国PSD的临床康复治疗进展,深化和规范对PSD系统化治疗的认识,对临床治疗提供参考.

Post-stroke depression(PSD)is a common complication after stroke,and also an important obstacle to the recovery of the disease.The incidence rate is high,which seriously affects the prognosis and quality of life of the patients.Therefore,the disease is deeply concerned by the clinic.At present,a large number of in-depth studies have generally believed that early detection and early treatment play a significant positive role in the recovery of the disease.The treatment methods are various of PSD,mainly Western medicine,other methods include psychological counseling,rehabilitation treatment,traditional Chinese medicine treatment,acupuncture and moxibustion treatment,etc.,all of which have certain advantages.This paper summarizes the main methods of clinical treatment of the disease in the past five years,including Western medicine/traditional Chinese medicine treatment,psychological/emotional intervention,early rehabilitation training,physical therapy,acupuncture treatment,moxibustion treatment and other methods,in order to understand the progress of clinical rehabilitation treatment of PSD in China,deepen and standardize the understanding of systematic treatment of PSD,and provide reference for clinical treatment.