脑卒中后抑郁是脑卒中后常见并发症之一,但在临床工作中易忽视,漏诊率和误诊率较高。脑卒中后抑郁直接影响脑卒中患者认知功能、康复、功能恢复和生活质量,与脑卒中高复发率、高病残率和高病死率密切相关。为提高对脑卒中后早期和晚期抑郁的认识与重视,本文综合国内外研究最新进展,就脑卒中后抑郁流行病学、发病机制、影响因素、筛查与诊断、治疗与预防等方面进行简要概述。
Post-stroke depression(PSD) is one of the common complications after stroke. However,it is often overlooked in clinical practice. As a result, many patients have been misdiagnosed or never been diagnosed. Post-stroke depression directly affect cognitive function, late rehabilitation, functional recovery and the quality of life in stroke patients, and is closely related to the high recurrence rate, disability rate and mortality of stroke. In order to deepen the understanding of early and late PSD, this paper summarized recent progress of PSD at home and abroad, and made a brief introduction on the epidemiology,pathogenesis, influencing factors, screening and diagnosis, treatment and prevention of PSD.