摘要
Abstract
Objective: To analyze related factors affected the degree of depression after stroke and treatment of patients with varying degrees of depression by clinical investigation of 102 cases of depressions after stroke.Method: 102 cases of depressions after stroke of age, sex, occupation, family relationships, frequency of stroke,comorbidities (including hypertension, diabetes, coronary heart disease, etc.) were to investigated , related factors of the degree of depression were explored by the application of Logistic regression,while applications of depression self-assessment form and Hamilton Depression table for 102 patients with the degree of depression were evaluated,then 58 cases of mild depression, moderate to severe depression were 44 cases. The mild and moderate to severe depression who were divided into two groups,29 cases in each mild depression groups and 22 cases in each moderate to severe depression groups.The experimental group of patients with psychological therapy and fluoxetine combination therapy,and the control group were treated with psychotherapy alone. After treatment, social support tables, stroke patients of quality of life assessment form and Hamilton Depression Scale for efficacy evaluation were used.Result:Age, family relations, and the number of stroke ,complications were related factors affecting the degree of depression after stroke, there was statistical significance; for patients with mild depression,effect was good, clinical efficacy between the experimental and control groups was no significant differences; for patients with moderate to severe depression, the clinical efficacy of the experimental group was significantly higher,there was a statistically significant difference(P<0.05).Conclusion: Age, family relations, and the number of stroke, complications are related factors that affects the degree of depression after stroke, for patients with mild depression, psychotherapy alone can achieve better results, for patients with moderate to severe depression, the clinical efficacy of psychological therapy combined with fluoxetine is better than psychotherapy alone.关键词
卒中后抑郁程度/相关因素/不同程度/抑郁患者/治疗Key words
The extent of post-stroke depression/Related factors/Varying degrees/Depression/Treatment
