Department of Mental Health and Psychiatry, Lusiadas Health Group, Lisboa, Portugal
Department of Mental Health and Psychiatry, Lusiadas Health Group, Lisboa, Portugal.
Pract Neurol. 2021 Oct;21(5):384-391. doi: 10.1136/practneurol-2020-002622. Epub 2021 May 14.
Stroke treatment has dramatically improved in recent decades. However, although new treatments have reduced its mortality and the severity of its physical and cognitive sequelae, many people still have incapacitating disabilities following a stroke. Depression is the most common psychiatric disorder following stroke; it is important to recognise and treat as it limits motor and cognitive rehabilitation. Antidepressant medication is an effective treatment and can improve adherence to clinically recommended physical and cognitive tasks, thereby enhancing functional remodelling of neuronal pathways and improving rehabilitation outcomes.
近年来,中风治疗取得了显著进展。然而,尽管新的治疗方法降低了中风的死亡率和身体及认知后遗症的严重程度,但许多人在中风后仍存在致残性残疾。中风后最常见的精神障碍是抑郁症;重要的是要识别和治疗,因为它会限制运动和认知康复。抗抑郁药物是一种有效的治疗方法,可以提高对临床推荐的身体和认知任务的依从性,从而增强神经元通路的功能重塑,改善康复效果。