Lim M L, Ebrahim S B
Postgrad Med J. 1983 Aug;59(694):489-91. doi: 10.1136/pgmj.59.694.489.
Treatment with anti-depressant drugs of 61 inpatients admitted on account of stroke was studied. Eighteen patients (30%) were being so treated. Only 5 patients (17%) with dysphasia were being treated with anti-depressant drugs compared with 13 patients (41%) without dysphasia (P less than 0.05). Dosage levels used were generally low and only one patient had been referred for a psychiatric opinion. We suggest that the difference in anti-depressant usage is because dysphasic patients are more difficult to assess and therefore less likely to have depressive symptoms recognized and treatment given. We also think that psychiatric referral should be used more often for assessment of stroke patients and for advice about treatment.
对61名因中风入院的住院患者使用抗抑郁药物的情况进行了研究。18名患者（30%）正在接受此类治疗。仅有5名（17%）有言语困难的患者正在接受抗抑郁药物治疗，而没有言语困难的患者有13名（41%）（P<0.05）。所使用的剂量水平普遍较低，只有一名患者被转诊以寻求精神科意见。我们认为抗抑郁药物使用存在差异的原因是，有言语困难的患者更难评估，因此识别出抑郁症状并给予治疗的可能性较小。我们还认为，应更频繁地进行精神科转诊，以评估中风患者并提供治疗建议。
