老年卒中后抑郁的心理、药物干预研究  

Psychological and drug intervention in senile poststroke depression patients

作　　者：张华[1] 郝永存[1] 张俊智[1] 朱跃民[1] 石志敏[1] 王巍[1] 郭爱玲[1] 朱玉霞[1] 

机构地区：[1]宁夏自治区人民医院,宁夏银川750021

出　　处：《宁夏医学杂志》2005年第1期19-20,共2页Ningxia Medical Journal

摘　　要：　目的　探讨老年卒中后抑郁 (PSD)的心理药物干预效果。方法　采用抑郁自评量表 (SDS)和Hamilton抑郁量表 (HAMD)确定老年PSD共 132例 ,对所有患者行脑卒中常规药物治疗 ,同时心理治疗 4 2例 ,心理加抗抑郁药物治疗 5 1例 ,未做特殊治疗 39例 ,治疗 1个月后再用SDS和HAMD量表检测 ,并前后比较。结果　 (1)老年PSD患者可影响预后 ;(2 )心理治疗可使抑郁症状减轻 ,帮助疾病恢复 ;(3)心理加抗抑郁药物治疗可使抑郁症状明显减少 ,临床效果显著。结论　心理加抗抑郁药物对老年PSD的干预可显著改善临床症状 ,有助于脑卒中恢复 ,提高生活质量。Objective To explore the efficacy of psychotherapy and drug therapy in senile pastroke depression(PSD) patients. MethodsAtotal of 132 senile PSD patients were divided into three groups,one receiving psychotherapy plus routine medicine treatment,second receiveing psychotherapy and anti-depressive drug therapy plus routine medicine treatment,the other medicine treatment only.They were assessed with SDS and HAMD.Results (1)There were poor results in senile PSD patients;(2)psychotherapy improved their depressive symptoms;(3)psychotherapy and anti-depressive drug therapy is efficacious significantly.Conclusion Psychotherapy and anti-depressive drug therapy is efficacious for these impairments in senile PSD patients.

关 键 词：卒中后抑郁 老年性 心理疗法 药物疗法 疗效评析 

分 类 号：R749.1[医药卫生—神经病学与精神病学]