脑卒中后疼痛  

Post-stroke pain

作　　者：陈晓虹[1] 蔺慕会[1] 王玉洁[1] 陶旭[1] 

机构地区：[1]辽宁省人民医院,辽宁沈阳110016

出　　处：《中国临床康复》2002年第12期1714-1715,1745,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：脑卒中后引起的各种急慢性疼痛对病人整体功能的康复,患者的生存质量均有很大的影响。脑卒中的各种康复治疗措施应特别强调对各种疼痛的处理。以下就脑卒中引起的常见疼痛的有关问题进行综述。Objective To evaluate the effects of the selective serotonin reuptake inhibitor(SSRI) paroxetine on the functional capacities of poststroke depression.Method Seventy five patients were randomly assigned to 3 groups,during 8 weeks of therapy,patients were treated wtih paroxetine,doxepin, and placebo.Before and at the end of the observation,we assessed ADL by Barthel index,degree of neurological deficit by Chinese stroke scale and depressive symptomatology by Hamilton depression rating scale.Results The three groups ameliorated ADL capacities and neurological deficitto different extents.The greatest improvement was observed in the paroxetine treated group.Conclusion Paroxetine may facilitate recovery in patients with poststroke depression undergoing rehabilitation.The effects of SSRI as an adunct to physical therapy warrant further investigation.

关 键 词：脑卒中 疼痛 生存质量 发病机制 治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R441.1[医药卫生—临床医学]