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本文引用的文献

1
Hyperlipidemia and primary prevention of stroke: does risk factor identification and reduction really work?高脂血症与脑卒中一级预防：危险因素识别与降低真的有效吗？
Curr Atheroscler Rep. 2010 Jul;12(4):225-9. doi: 10.1007/s11883-010-0117-4.
2
Antidepressants for depression in physically ill people.用于身体疾病患者抑郁症治疗的抗抑郁药。
Cochrane Database Syst Rev. 2010 Mar 17(3):CD007503. doi: 10.1002/14651858.CD007503.pub2.
3
Heart disease and stroke statistics--2010 update: a report from the American Heart Association.《2010年心脏病和中风统计数据更新：美国心脏协会报告》
Circulation. 2010 Feb 23;121(7):e46-e215. doi: 10.1161/CIRCULATIONAHA.109.192667. Epub 2009 Dec 17.
4
Balancing evidence and opinion in stroke care: the 2008 best practice recommendations.中风护理中证据与观点的权衡：2008年最佳实践建议
CMAJ. 2008 Dec 2;179(12):1247-9. doi: 10.1503/cmaj.081536.
5
Exposure to antipsychotics and risk of stroke: self controlled case series study.抗精神病药物暴露与中风风险：自我对照病例系列研究
BMJ. 2008 Aug 28;337:a1227. doi: 10.1136/bmj.a1227.
6
Frequency, characterisation and therapies of fatigue after stroke.中风后疲劳的发生率、特征及治疗方法
Neurol Sci. 2008 Sep;29 Suppl 2:S244-6. doi: 10.1007/s10072-008-0951-0.
7
Interventions for preventing depression after stroke.预防中风后抑郁的干预措施。
Cochrane Database Syst Rev. 2008 Jul 16(3):CD003689. doi: 10.1002/14651858.CD003689.pub3.
8
Escitalopram and problem-solving therapy for prevention of poststroke depression: a randomized controlled trial.艾司西酞普兰与解决问题疗法预防卒中后抑郁：一项随机对照试验。
JAMA. 2008 May 28;299(20):2391-400. doi: 10.1001/jama.299.20.2391.
9
A preliminary investigation of the reliability and validity of the Brief Assessment Schedule Depression Cards and the Beck Depression Inventory-Fast Screen to screen for depression in older stroke survivors.简短评估量表抑郁卡片及贝克抑郁量表快速筛查版在老年卒中幸存者中筛查抑郁症的信效度初步调查。
Int J Geriatr Psychiatry. 2008 May;23(5):531-6. doi: 10.1002/gps.1933.
10
Screening for depression in stroke: relationship to rehabilitation efficiency.中风患者抑郁症筛查：与康复效率的关系
J Stroke Cerebrovasc Dis. 1999 Sep-Oct;8(5):300-6. doi: 10.1016/s1052-3057(99)80004-4.

治疗脑卒中后抑郁和精神困扰患者的新兴策略。

Emerging strategies in the treatment of poststroke depression and psychiatric distress in patients.

机构信息

Department of Psychiatry, Walter Reed Army Medical Center, Washington, DC, USA.

出版信息

Psychol Res Behav Manag. 2010;3:109-18. doi: 10.2147/PRBM.S10035. Epub 2010 Dec 6.

DOI:10.2147/PRBM.S10035
PMID:22110334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3218762/
Abstract

Poststroke depression (PSD) is a common sequela of stroke associated with increased morbidity and mortality among stroke survivors. PSD has been associated with poorer rehabilitative outcomes, longer inpatient stays, inefficient use of medical resources, worsened cognitive decline, and increased suicidality. This article reviews the definition and proposed etiology of PSD as well as current and emerging evidence-based prevention, screening, and treatment modalities. The timely use of prevention and treatment techniques including pharmacologic and nonpharmacologic methods may improve treatment outcomes and enhance the quality of life in stroke patients.

摘要

脑卒中后抑郁（PSD）是脑卒中的常见后遗症，与脑卒中幸存者的发病率和死亡率增加有关。PSD 与康复效果较差、住院时间延长、医疗资源利用效率低下、认知能力下降恶化以及自杀风险增加有关。本文回顾了 PSD 的定义和提出的病因，以及当前和新兴的基于证据的预防、筛查和治疗方法。及时使用预防和治疗技术，包括药物和非药物方法，可能改善治疗效果并提高脑卒中患者的生活质量。