卒中后情感障碍与持续性姿势-知觉性头晕相关研究进展  

Research Progress on Relationship between Post-stroke Affective Disorder and Persistent Postural Perceptual Dizziness

作　　者：禹萌 张洪涛 任雅芳 刘海涛[1] 张淑玲[1] YU Meng;ZHANG Hongtao;REN Yafang;LIU Haitao;ZHANG Shuling(Department of Neurology,the affiliated hospital of Henan University of Chinese Medicine,People’s Hospital of Zhengzhou,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第五临床医学院(郑州人民医院)神经内科,郑州450000

出　　处：《神经损伤与功能重建》2023年第8期474-477,共4页Neural Injury and Functional Reconstruction

基　　金：2019年度河南省医学科技攻关计划(No.LHGJ20191065)。

摘　　要：卒中后情感障碍患者除了精神性焦虑,也会出现躯体性焦虑表现,如头晕头昏、不稳感、心悸、尿便障碍等。作为前庭症状,患者描述的昏沉、不稳感与焦虑抑郁状态可能具有共同的神经生物学基础和信号通路。由于两者部分接近的临床特征和可能重叠的神经生物学基础,推测卒中后情感障碍患者可能具有持续性姿势-知觉性头晕(PPPD)转化风险。本文对近年来卒中后情感障碍和PPPD的最新研究进行综述。In addition to mental anxiety,patients with post-stroke affective disorder also have somatic anxiety,such as dizziness,instability,palpitations,urination and fecal disorders.As vestibular symptoms,lethargy,instability described by patients may share some common neurobiological basis and signaling pathway with anxiety and depression.Due to the similar clinical features and possible overlapping neurobiological basis of persistent postural-perceptual dizziness(PPPD),it is speculated that patients with post-stroke affective disorder may be at risk for PPPD conversion.Therefore,this article reviews the latest researches on post-stroke affective disorder and PPPD in recent years.

关 键 词：卒中后情感障碍 姿势-知觉性头晕 焦虑 抑郁 

分 类 号：R741[医药卫生—神经病学与精神病学] R741.02[医药卫生—临床医学] R743R651