中国现代神经疾病杂志 ›› 2015, Vol. 15 ›› Issue (4): 263-269. doi: 10.3969/j.issn.1672-6731.2015.04.003

• 专题讲座:脑血管病二级预防 • 上一篇    下一篇

2 警惕脑卒中后早期和晚期抑郁

张钰, 曾丽莉, 刘建荣   

  1. 200025 上海交通大学医学院附属瑞金医院神经科
  • 出版日期:2015-04-25 发布日期:2015-04-21
  • 通讯作者: 曾丽莉(Email:llzeng@126.com);刘建荣(Email:liujr300@medmail.com.cn)
  • 基金资助:

    国家自然科学基金资助项目(项目编号:81471246);国家自然科学基金青年科学基金资助项目(项目编号:81200943);上海市卫生局科研课题(项目编号:20124217)

Pay attention to the early and late post-stroke depression

ZHANG Yu, ZENG Li-li, LIU Jian-rong   

  1. Department of Neurology, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China
  • Online:2015-04-25 Published:2015-04-21
  • Contact: ZENG Li-li (Email: llzeng@126.com); LIU Jian-rong (Email: liujr300@medmail.com.cn)
  • Supported by:
    This study was supported by National Natural Science Foundation of China (No. 81471246), National Natural Science Foundation for Young Scholars of China (No. 81200943) and Scientific Research Program of Shanghai Health Bureau (No. 20124217).

摘要: 脑卒中后抑郁是脑卒中后常见并发症之一,但在临床工作中易忽视,漏诊率和误诊率较高。脑卒中后抑郁直接影响脑卒中患者认知功能、康复、功能恢复和生活质量,与脑卒中高复发率、高病残率和高病死率密切相关。为提高对脑卒中后早期和晚期抑郁的认识与重视,本文综合国内外研究最新进展,就脑卒中后抑郁流行病学、发病机制、影响因素、筛查与诊断、治疗与预防等方面进行简要概述。

关键词: 卒中, 抑郁, 综述

Abstract: Post-stroke depression (PSD) is one of the common complications after stroke. However, it is often overlooked in clinical practice. As a result, many patients have been misdiagnosed or never been diagnosed. Post-stroke depression directly affect cognitive function, late rehabilitation, functional recovery and the quality of life in stroke patients, and is closely related to the high recurrence rate, disability rate and mortality of stroke. In order to deepen the understanding of early and late PSD, this paper summarized recent progress of PSD at home and abroad, and made a brief introduction on the epidemiology, pathogenesis, influencing factors, screening and diagnosis, treatment and prevention of PSD.

Key words: Stroke, Depression, Review