5羟色胺再摄取抑制剂联合系统心理干预治疗对老年卒中后抑郁疗

Effects of 5-hydroxytryptamine Reuptake Inhibitors Combined with Therapy of Systematic Psychological Intervention on Senile Post-stroke Depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(1)
作者
作者单位

大连医科大学附属二院 ;

摘要
【摘要】 目的:探究5羟色胺再摄取抑制剂联合系统心理干预治疗对老年卒中后抑郁的疗效。方法:选取自2014年1月至2016年1月我院收治的200例脑卒中后抑郁的老年患者,按随机数表将其分为4组,即A、B、C、D组,每组各50例。A、B、C、D组分别给予常规治疗、常规治疗+5羟色胺再摄取抑制剂、常规治疗+系统心理干预、常规治疗+5羟色胺再摄取抑制剂+系统心理干预。比较四组患者治疗前后的抑郁程度、肌力、神经功能及日常生活能力评分情况。结果:与治疗前相比,四组患者治疗后抑郁程度评分、神经功能缺损评分(NFDS评分)均显著下降,肌力评分、巴氏指数(BI)评分均显著升高,治疗前后比较差异具有统计学意义(p<0.05);以D组患者治疗后的抑郁程度评分、NFDS评分最低,肌力评分、BI评分最高,与其他三组治疗后比较差异具有统计学意义(p<0.05)。结论:5羟色胺再摄取抑制剂联合系统心理干预治疗老年脑卒中后抑郁的效果显著,优于单独治疗,值得在临床上广泛应用。
Abstract
【Abstract】 Objective: To explore the effect of serotonin reuptake inhibitor combined with systemic psychological intervention on senile post-stroke depression. Methods: From January 2014 to January 2016 in our hospital 200 cases of post-stroke depression in elderly patients, according to the random number table will be divided into four groups, namely, A, B, C, D group, each Group of 50 cases. Routine treatment + serotonin reuptake inhibitor, conventional treatment + systemic psychological intervention, conventional treatment + serotonin reuptake inhibitor + systemic psychological intervention, A, B, C, D group were given routine treatment. The scores of depression, muscle strength, nerve function and daily living ability of four groups were compared before and after treatment. Results: Compared with before treatment, scores of depression and NFDS of four groups were significantly decreased, muscle strength scores and BI scores were significantly higher than those before treatment (P <0.05). The score of depression and NFDS score in D group were the lowest, muscle strength score and BI score were the highest after treatment (p <0.05), and the difference was significant (p <0.05) after treatment compared with the other three groups. Conclusion: The combination of serotonin reuptake inhibitor and systemic psychological intervention is more effective than single therapy in the treatment of senile post -stroke depression. It is worthy to be widely used in clinical practice.
关键词
【关键词】5羟色胺再摄取抑制剂;系统心理干预;老年;脑卒中;抑郁
KeyWord
【Key words】 Serotonin reuptake inhibitor; Systematic psychological intervention; Senile; Stroke; Depression
基金项目
页码 124-127
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孙芸*. 5羟色胺再摄取抑制剂联合系统心理干预治疗对老年卒中后抑郁疗 [J]. 国际精神病学杂志. 2018; 45; (1). 124 - 127.

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