卒中后抑郁
中山大学附属第三医院神经病学科 (510660)
一、常见的脑血管病并发症
1924年Bleuler首先报道
二、PSD的发生率
20%-80%
三、PSD与病灶部位
左半球损害
左前皮质损害
左前半球损害
四、PSD与认知功能
卒中
认知功能
抑郁
五、PSD与神经功能缺损程度
诱发心理反应性抑郁？
延缓神经功能恢复
六、PSD与躯体疾病
既往的疾病
合并的疾病
应激性反应
七、PSD与其他因素
遗传
抑郁病史
社会活动能力
家庭和社会支持
护理的满意程度
八、PSD的发病机制
原发性内源机制学说
反应性机制学说
九、PSD对卒中预后的影响
延缓功能恢复
生存质量下降
病死率增高
十、PSD的诊断
抑郁的共性
诊断标准
十一、PSD的鉴别诊断
特异性生物学指标
急性期伴意识障碍和失语
康复期有智能障碍
十二、PSD治疗概况
药物治疗
心理治疗
电治疗
Post-Stroke Depression
HU Xueqiang
Neurology Department the 3rd Affiliated Hospital of Zhongshan University
1. Common sequela of cerebral vascular disease
1924 , Bleuler
2. Prevalence rate
20%-80%
3. PSD & Location of lesions
Left hemisphere damage
Left anterior cortical damage
Left anterior hemisphere damage
4. PSD & Cognitive function
Stroke
Cognition
Depression
5. PSD& degree of neurological dysfunction
Induced psychological reactive depression?
Impaired function recovery
6. PSD & Somatic disease
Personal history
Medical comorbidity
Stress reaction
7. PSD & Other risk factors
Genetics
History of depression
Ability of social activities
Support from family and society
Nursing
8. Pathogenesis
Primary endogenous mechanism
Reactive mechanism
9. Impact on outcomes of stroke
Impaired functional recovery
Poor quality of life
High mortality risk
10. Diagnosis
Common features of depression
Diagnostic criteria
11. Differential diagnosis
Specific biological marker
Cognitive and language deficits in the acute phase
Intellectual decline in the acute phase
12. Treatment options
Antidepressant medications
Psychological counseling
Electroconvulsive therapy (ECT)
13. Prospect on future, http://www.100md.com(胡学强)
一、常见的脑血管病并发症
1924年Bleuler首先报道
二、PSD的发生率
20%-80%
三、PSD与病灶部位
左半球损害
左前皮质损害
左前半球损害
四、PSD与认知功能
卒中
认知功能
抑郁
五、PSD与神经功能缺损程度
诱发心理反应性抑郁？
延缓神经功能恢复
六、PSD与躯体疾病
既往的疾病
合并的疾病
应激性反应
七、PSD与其他因素
遗传
抑郁病史
社会活动能力
家庭和社会支持
护理的满意程度
八、PSD的发病机制
原发性内源机制学说
反应性机制学说
九、PSD对卒中预后的影响
延缓功能恢复
生存质量下降
病死率增高
十、PSD的诊断
抑郁的共性
诊断标准
十一、PSD的鉴别诊断
特异性生物学指标
急性期伴意识障碍和失语
康复期有智能障碍
十二、PSD治疗概况
药物治疗
心理治疗
电治疗
Post-Stroke Depression
HU Xueqiang
Neurology Department the 3rd Affiliated Hospital of Zhongshan University
1. Common sequela of cerebral vascular disease
1924 , Bleuler
2. Prevalence rate
20%-80%
3. PSD & Location of lesions
Left hemisphere damage
Left anterior cortical damage
Left anterior hemisphere damage
4. PSD & Cognitive function
Stroke
Cognition
Depression
5. PSD& degree of neurological dysfunction
Induced psychological reactive depression?
Impaired function recovery
6. PSD & Somatic disease
Personal history
Medical comorbidity
Stress reaction
7. PSD & Other risk factors
Genetics
History of depression
Ability of social activities
Support from family and society
Nursing
8. Pathogenesis
Primary endogenous mechanism
Reactive mechanism
9. Impact on outcomes of stroke
Impaired functional recovery
Poor quality of life
High mortality risk
10. Diagnosis
Common features of depression
Diagnostic criteria
11. Differential diagnosis
Specific biological marker
Cognitive and language deficits in the acute phase
Intellectual decline in the acute phase
12. Treatment options
Antidepressant medications
Psychological counseling
Electroconvulsive therapy (ECT)
13. Prospect on future, http://www.100md.com(胡学强)