脑卒中后情绪障碍120例临床分析

Emotion Disturbance after Brain Stroke: 120 Cases Report

目的:探讨脑卒中后情绪障碍的特点和治疗。方法:选择由CT确诊的120例脑卒中病例,运用DND、SDS和SAS进行测查分析并进行统计学处理。结果:脑卒中后情绪障碍的发生率较高,抑郁、焦虑是最常见的症状。卒中后出现情绪障碍的比例及类型和神经功能缺损程度及卒中部位相关。结论:脑卒中后神经功能缺损重者出现情绪障碍的比例高于缺损轻者;脑卒中后情绪障碍的治疗原则是在积极治疗原发病的同时,适量应用抗抑郁、抗焦虑等精神药物,并辅以简单心理治疗。

Objective: To study the feature and managements of emotion disturbance after brain stroe. Methods: 120 cases of brain stroke diagnosed by CT, DND,SDS and SAS were studied. Results:The incidence of emotion disturbance after brain stroke was high, Melancholia, anxiety were the most common symptoms, the proportion and type of emotion disturbance after stroke were related with the degree of nerve function loss and stroke position. Conclusion: The incidence of emotion disturbance in patients with severe function loss was higher than those with mild loss, the treatment of emotion disturbance after brain stroke is to treat primary disease actively, meantime use antimelancho,antianxious drugs moderately, and add single psychotherapy when possible.