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目的观察心理支持辅助治疗卒中后抑郁症(post-stroke depression,PSD)的临床疗效。方法 90例卒中后抑郁症患者随机分为两组,观察组口服氟西汀辅以心理支持治疗,对照组仅给予氟西汀治疗。治疗前后采用汉密尔顿抑郁量表(Hamilton depression rating scale for depression,HAMD)进行疗效评估。结果治疗后,观察组有效率为91.3%,对照组为72.7%。结论心理支持配合抗抑郁药物可有效改善卒中后抑郁状态,疗效优于单纯抗抑郁药物治疗。
Objective To observe the clinical efficacy of psychological support in the treatment of post-stroke depression (PSD). Methods 90 patients with post-stroke depression were randomly divided into two groups. The observation group received fluoxetine supplemented with psychological support and the control group received fluoxetine only. Before and after treatment with Hamilton depression rating scale (Hamilton depression rating scale for depression, HAMD) efficacy evaluation. Results After treatment, the effective rate was 91.3% in the observation group and 72.7% in the control group. Conclusion Psychological support combined with antidepressant drugs can effectively improve post-stroke depression, the effect is better than the simple antidepressant drug treatment.