Clinical analysis of old patients with post-stroke depression screening and psychological treatment

Objective To investigate the screening elderly stroke patients with depression and related psychological therapy.Methods 80 patients with first time stroke one month ago as treatment group, and 74 inpatients with post-stroke depression as control group. Two groups all carried out conventional treatment with oral Prozac 20 mg daily, and treatment group was supplemented with psychological therapy. Depression factors of patients after stroke,before treatment, 8 weeks and 6 months after treatment were analyzed with the Hamilton depression scale(HAMD) and self rating depression scale(SDS). HAMD,SDS score and stroke neurological deficits(CSS) were compared after one year. Results 8 weeks and 6 months after treatment, HAMD score, SDS score and CSS score were lower than the scores before treatment. After 1 year of treatment, the HAMD, SDS score and stroke neurological deficits(CSS) were significantly lower than before with a clinical effective rate of91.25%(P0.05). Conclusion It is important to carry out stroke depression scale screening for the patients after the first stroke and carried out the psychological treatment guidelines. Early treatment can reduce their depression and the family and society burdens.