摘要
临床常见的卒中后情感障碍(PSTD)包括卒中后抑郁、卒中后焦虑或卒中后抑郁焦虑共病、卒中后淡漠、卒中后躁狂、卒中后愤怒倾向等,以卒中后抑郁最为常见。PSTD具有一定的隐蔽性,不易被临床识别,目前临床识别主要依赖临床评估和心理量表测试。PSTD干预主要包括药物治疗、心理治疗和物理治疗等。本文对上述5种类型PSTD的发病机制、临床识别、临床诊断和干预策略的研究进展进行综述,以期为PSTD的诊疗提供参考。
Post-stroke affective disorders(PSTD)are common complications,which significantly affect neurological function recovery and quality of life in stroke patients.Common PSTD includes post-stroke depression,post-stroke anxiety or post-stroke depression-anxiety co-morbidity,post-stroke apathy,post-stroke mania,and post-stroke anger proneness,with post-stroke depression being the most commonly concerned.PSTD is not easily recognized and intervened clinically due to its hidden nature.At present,clinical identification mainly relies on clinical assessment and psychological scale tests;PTSD intervention mainly includes drug treatment,psychological treatment and physical treatment.This review summarizes the recent advances in these 5 major PSTD subtypes,encompassing their pathophysiological mechanisms,clinical identification criteria,diagnostic approaches,and evidence-based intervention strategies,aiming to provide practical references for optimizing clinical management of PSTD.
作者
魏振
张旭
江秀龙
汪银洲
李永坤
Wei Zhen;Zhang Xu;Jiang Xiulong;Wang Yinzhou;Li Yongkun(Department of Neurology,Provincial Hospital of Fuzhou University/Provincial Clinical College of Fujian Medical University,Fuzhou 350001,China)
出处
《中华神经医学杂志》
北大核心
2025年第7期739-745,共7页
Chinese Journal of Neuromedicine
基金
福建省自然科学基金(2022J01413)
福建省临床重点专科建设项目(0060112417)
福建省卫生健康科技计划项目(2017-ZQN-22)。
关键词
卒中后情感障碍
卒中后抑郁
卒中后焦虑
卒中后淡漠
卒中后躁狂
卒中后愤怒倾向
流行病学
临床干预
Post-stroke affective disorder
Post-stroke depression
Post-stroke anxiety
Post-stroke apathy
Post-stroke mania
Post-stroke anger proneness
Epidemiology
Clinical intervention
