摘要
目的 探讨老年卒中后抑郁 (PSD)的心理药物干预效果。方法 采用抑郁自评量表 (SDS)和Hamilton抑郁量表 (HAMD)确定老年PSD共 132例 ,对所有患者行脑卒中常规药物治疗 ,同时心理治疗 4 2例 ,心理加抗抑郁药物治疗 5 1例 ,未做特殊治疗 39例 ,治疗 1个月后再用SDS和HAMD量表检测 ,并前后比较。结果 (1)老年PSD患者可影响预后 ;(2 )心理治疗可使抑郁症状减轻 ,帮助疾病恢复 ;(3)心理加抗抑郁药物治疗可使抑郁症状明显减少 ,临床效果显著。结论 心理加抗抑郁药物对老年PSD的干预可显著改善临床症状 ,有助于脑卒中恢复 ,提高生活质量。
Objective To explore the efficacy of psychotherapy and drug therapy in senile pastroke depression(PSD) patients. MethodsAtotal of 132 senile PSD patients were divided into three groups,one receiving psychotherapy plus routine medicine treatment,second receiveing psychotherapy and anti-depressive drug therapy plus routine medicine treatment,the other medicine treatment only.They were assessed with SDS and HAMD.Results (1)There were poor results in senile PSD patients;(2)psychotherapy improved their depressive symptoms;(3)psychotherapy and anti-depressive drug therapy is efficacious significantly.Conclusion Psychotherapy and anti-depressive drug therapy is efficacious for these impairments in senile PSD patients.
出处
《宁夏医学杂志》
CAS
2005年第1期19-20,共2页
Ningxia Medical Journal
关键词
卒中后抑郁
老年性
心理疗法
药物疗法
疗效评析
Poststroke depression
Senile psychotherapy drug therapy
Efficacy evaluation
