卒中后抑郁障碍:机制、诊断与治疗

被引：33

作者：

张志珺

袁勇贵

机构：

[1] 东南大学附属中大医院神经精神医学科

来源：

中国卒中杂志 | 2014年 / 9卷 / 01期

关键词：

卒中; 抑郁; 治疗;

D O I：

暂无

中图分类号：

R749.1 [脑器质性精神障碍]; R743.3 [急性脑血管疾病（中风）];

学科分类号：

100204 [神经病学];

摘要：

<正>抑郁是较常见的卒中后神经精神症状之一。在卒中发病后最初3个月内卒中后抑郁障碍(post-stroke depression,PSD)的累计患病率是27.3%[1],在最初1年内PSD的累计发生率为41.8%[2]。近半数PSD患者随着时间的延长而康复,然而部分患者几个月后或2年内将成为重度抑郁患者,还有一部分患者抑郁症状变化不定[3]。与卒中后无抑郁症状的患者相比,有5个或以上抑郁症状的患者死亡风险增加超过1.5倍,PSD患者在卒中后10年内死亡风险增加超

引用

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页数：4

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