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中风后的神经精神问题:临床意义及治疗启示

Neuropsychiatric issues after stroke: Clinical significance and therapeutic implications.

作者信息

Zhang Shuo, Xu Michael, Liu Zhi-Jun, Feng Juan, Ma Yan

机构信息

Department of Neurology, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.

Department of Clinical Medicine, International Education School, China Medical University, Shenyang 110004, Liaoning Province, China.

出版信息

World J Psychiatry. 2020 Jun 19;10(6):125-138. doi: 10.5498/wjp.v10.i6.125.

Abstract

A spectrum of neuropsychiatric disorders is a common complication from stroke. Neuropsychiatric disorders after stroke have negative effects on functional recovery, increasing the rate of mortality and disability of stroke survivors. Given the vital significance of maintaining physical and mental health in stroke patients, neuropsychiatric issues after stroke have raised concerns by clinicians and researchers. This mini-review focuses on the most common non-cognitive functional neuropsychiatric disorders seen after stroke, including depressive disorders, anxiety disorders, post-traumatic stress disorder, psychosis, and psychotic disorders. For each condition, the clinical performance, epidemiology, identification of the therapeutic implication, and strategies are reviewed and discussed; the main opinions and perspectives presented here are based on the latest controlled studies, meta-analysis, or updated systematic reviews. In the absence of data from controlled studies, consensus recommendations were provided accordingly.

摘要

一系列神经精神障碍是中风常见的并发症。中风后的神经精神障碍对功能恢复有负面影响,增加了中风幸存者的死亡率和致残率。鉴于维持中风患者身心健康的至关重要性,中风后的神经精神问题引起了临床医生和研究人员的关注。本小型综述聚焦于中风后最常见的非认知功能性神经精神障碍,包括抑郁症、焦虑症、创伤后应激障碍、精神病和精神障碍。针对每种病症,对其临床表现、流行病学、治疗意义的识别以及策略进行了综述和讨论;此处呈现的主要观点和视角基于最新的对照研究、荟萃分析或更新的系统评价。在缺乏对照研究数据的情况下,相应地给出了共识性建议。

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