心理康复在卒中后抑郁治疗中的研究进展

Research progress of psychological rehabilitation in the treatment of post-stroke depression

卒中是临床常见的脑血管疾病,因患病率、致残率、致死率较高,给患者家庭乃至整个社会带来负担。卒中后抑郁属于卒中患者常见并发症,对卒中幸存者的治疗效果及预后影响极大,已逐步成为备受关注的公众健康问题。目前临床常用的治疗为口服精神类药,但因患者依从性差,其临床效果不理想。而心理康复作为一种安全、有效的临床治疗方法,正被患者及临床医生所接受,本文归纳了近年来心理康复治疗脑卒中后抑郁的研究进展,旨在为临床拟定相关治疗方案提供参考依据。

Cerebral stroke is a common cerebrovascular disease that gives rise to the increases of the morbidity,dis-ability and fatality rates,and imposes burdens to the patients family and the whole society.Post-stroke depression is a kind of clinical complications for cerebral stroke patients,as a complication,post-stroke depression affects the treatment effect and prognosis of stroke survivors,and has become a widely concerned public health issue.At present,oral psychotropic drugs commonly used in clinical practice.Patients often have poor compliance and clinical efficacy is not ideal.Psycho-logical rehabilitation,as a safe and effective clinical treatment method,has been accepted by patients and clinicians.The current research progress is reviewed,in order to provide a basis and reference for clinical treatment of post stroke depres-sion and future research development.