脑梗死后抑郁是脑梗死后常见的并发症,它延迟神经功能和认知功能恢复,增加病死率,极大地影响了卒中患者的生活质量。目前发病机制仍不清楚,治疗首选药物治疗,或加心理治疗。我院内科应用小剂量帕罗西汀联合心理辅导对脑梗死后抑郁病例进行了疗效观察,现总结报告如下。1对象与方法1.1一般资料收集2009年10月—2012年3月在我院内科进行常规治疗的脑梗死患者,住院均在2个月以上,愿意接受此项研究,排除交流困难者。采用床旁谈话方式对患者按Zung抑郁自评量表进行抑郁评分,该量 Depression after cerebral infarction is a common complication after cerebral infarction. It delays the recovery of neurological function and cognitive function, increases the mortality and greatly affects the quality of life of stroke patients. The current pathogenesis is still not clear, the treatment of choice for drug treatment, or add psychotherapy. Our hospital internal medicine application of low-dose paroxetine combined with psychological counseling for the treatment of depression after cerebral infarction cases were observed, are summarized as follows. 1 Subjects and Methods 1.1 General Information Collection October 2009 - March 2012 in our hospital routine treatment of cerebral infarction patients, were hospitalized for more than 2 months, are willing to accept the study, to exclude those who communicate difficulties. Using bedside talk to patients by Zung depression scale for depression score, the amount