Depression after stroke Clinical analysis of 42.docVIP

 PAGE \* MERGEFORMAT 6 Depression after stroke Clinical analysis of 42 [Keywords:] stroke; depression; cerebrovascular disease Depression after stroke-induced (PSD is a common complication of stroke patients. On neurological rehabilitation of cerebral blood vessels have significant impact, an increase of cerebrovascular disease morbidity and mortality [1]. Paroxetine, an antidepressant, anxiolytic effects. We in June 2004 to June 2007 Department of Neurology in our hospital 110 cases of hospitalized stroke patients were investigated to explore the incidence of PSD and related factors of paroxetine in the treatment and understand the clinical effect of PSD. 1 Clinical data 1.1 General Information June 2004 to June 2007 in our hospital 110 cases of stroke patients, 76 males and 34 females, aged 55 to 76 years (mean 65.1 + -4.5 years). Including 40 cases of cerebral hemorrhage, cerebral infarction in 67 cases, 3 cases of mixed stroke, cerebrovascular disease are in line with the national diagnostic criteria of the fourth, and by head CT or / and head magnetic resonance imaging (MRI) confirmed. eliminate depression and other psychiatric history, no family history of mental illness and no obvious mental retardation and aphasia, consciousness clear, examination cooperation. 1.2 Methods (1) Hamilton (HAMD 17) depression scale were determined: total scoregt; = 7 points of depression that is ruled, 7 to 17 mild depression, 17 to 24 moderate depression,gt; 24 sub-severe depression. (2) neurological impairment rating scale with the severity of stroke [2]: defect score from 0 to 15 were divided into mild, 16 to 30 were divided into moderate and severe from 31 to 45 minutes. (3) Treatment: Conventional treatment in stroke rehabilitation and regular basis, for all PSD patients given paroxetine 20mg tablets morning and an oral treatment, psychological treatment for all patients with PSD and psychological care. (4) efficacy criteria: HAMD score after treat