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帕罗西汀联合心理干预治疗脑卒中后抑郁的疗效观察
引用本文:洪潮鑫,杨兵,朱红,王合森.帕罗西汀联合心理干预治疗脑卒中后抑郁的疗效观察[J].医学临床研究,2008,25(10).
作者姓名:洪潮鑫  杨兵  朱红  王合森
作者单位:广东省深圳市龙岗区人民医院神经内科,广东,深圳,518172
摘    要:目的]观察抗抑郁药物帕罗西汀联合心理干预对脑卒中后抑郁的疗效.方法]96例卒中后抑郁症患者随机分为治疗组和对照组各48例,两组均给予帕罗西汀20mg/d晨服;治疗组同时采用心理治疗.治疗前后8周末分别用汉密尔顿抑郁量表(HAMD)、中国卒中量表(CSS)评定其疗效.结果]治疗8周后,两组的HAMD、CSS评分均明显低于治疗前,且治疗组均优于对照组,差异均有显著性(P<0.01).治疗组抑郁总有效率、神经功能恢复总有效率均为93.7%,明显高于对照组的77.1%和79.2%(P<0.01).结论]帕罗西汀联合心理干预有良好的抗抑郁及促进神经功能恢复的作用,疗效优于单纯药物治疗.

关 键 词:脑血管意外/并发症  抑郁症/病因学  抑郁症/治疗  帕罗西汀/治疗应用

Effect of Paroxetine Combined with Psychotherapy in the Treatment of Patients with Post-stroke Depression
HUONG Chao-xing,YANG Bing,ZHU Hong,et al.Effect of Paroxetine Combined with Psychotherapy in the Treatment of Patients with Post-stroke Depression[J].Journal of Clinical Research,2008,25(10).
Authors:HUONG Chao-xing  YANG Bing  ZHU Hong  
Institution:HUONG Chao-xing,YANG Bing,ZHU Hong,et al(Department of Neurology,the People\'s Hospital of Longgang District,Shenzhen 508172,China)
Abstract:Objective] To study the effects of Paroxetine combined with psychotherapy in treating post-stroke depression.Methods] In this study,a total of 96 patients with post-stroke depression were divided into 2 groups randomly.Among all patients,48 patients were treated with Paroxetine(Control group) and other 48 patients were treated with Paroxetine combined with psychotherapy(Treatment group) for 8 weeks.HAMD and CSS were used to evaluate the symptoms improvement and side effects.Results] After 8 weeks treatme...
Keywords:cerebrovascular disorders/CO  depression/ET  depression/TH  paroxetine/TU  
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