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[中风后抑郁——一个常见的医学和社会问题]

[Poststroke depression - a common medical and social problem].

作者信息

Maximova M Yu, Chochlova T Yu, Suanova E T

机构信息

Research Center of Neurology, Moscow; Evdokimov Moscow State Medical Dentistry University, Moscow.

Evdokimov Moscow State Medical Dentistry University, Moscow.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2016;116(3):96-103. doi: 10.17116/jnevro20161163196-103.

DOI:10.17116/jnevro20161163196-103
PMID:28635720
Abstract

Poststroke depression (PD) is considered as a common medical and social problem. Depression is estimated to occur in 30-35% of the patients during the first year after stroke. Despite the high level of comorbidity, PD is frequently undetectedand and untreated. Psychological impairment from stroke has a negative effect on functional outcome, rehabilitation and quality of live. On the basis of literature review present prevalence, etiology, pathogenesis,diagnosis of PD and summarize current recommendations for therapeutic intervention. A rational approach to the treatment and prevention of PD is proposed.

摘要

中风后抑郁(PD)被视为一个常见的医学和社会问题。据估计,30%-35%的患者在中风后的第一年出现抑郁。尽管共病率很高,但PD常常未被发现和治疗。中风导致的心理障碍对功能结局、康复和生活质量有负面影响。在文献综述的基础上,阐述PD的当前患病率、病因、发病机制、诊断,并总结治疗干预的当前建议。提出了一种治疗和预防PD的合理方法。

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