中风后抑郁症的病因及治疗

中风后抑郁症是脑器质性疾病引起的一种心境障碍,随原发疾病的病情变化而波动,其发生在中风发病后3~6个月为高峰,2年后发生率为30%~60%,在工作中,观察临床上约40%~60%的中风患者在发病后的第1周即出现轻度的抑郁症状,主要表现为情绪低落、郁闷、易流泪、哭泣、不安、焦躁及对医生的治疗不信任等情绪紊乱,这种情况可持续1~2周,这时主要表现为抑郁心境或称抑郁状态,如不加以心理疏导,给予适当的药物治疗,持续时间较长的患者易发展为抑郁症,不利于中风患者的进一步康复治疗。

Pathogeny and therapy of clinical depression after stroke

The clinical depression after stroke is a kind of psychological disorder caused by the brain organic disease,which fluctuates with the changing conditions of autoimmune diseases and reaches the peak after being stricken for 3 to 6 months,with the case rate of 30% to 60% after 2 years.From the work of clinical observation,40% to 60% of stricken patients have suffered from a light degree of depression after a week from being stricken,with the emotional disorder symptoms of being in low mood,being gloomy,being easy to be in tears,crying or weeping,being restless and losing trust in doctors' treatment,which may last one to two weeks.This state of feeling depressed or being in depressed mood will easily develop into the clinical depression after a relatively longer period of time without psychological guidance or proper medical treatment,which will also incur some difficulty for stricken patients to recover well during further healing treatments.