通讯作者: 刘兰英, balindaliu@163.com

DOI：10.12201/bmr.202605.00066

• 摘要：卒中后抑郁是脑卒中患者康复阶段高发的神经精神并发症,严重延缓患者神经功能恢复、提升死亡率,且受认知与文化等因素影响,临床普遍存在早识别、早干预不足的问题。目前西医对其发病机制的认知以原发性内源性与反应性机制双学说为核心,以 DSM-5 为核心诊断标准,康复手段聚焦神经调控与认知心理干预；中医将其归为中风合并郁证,认同本虚标实的病机特点,但辨证分型尚未统一,针灸、五音、推拿等疗法为常用康复手段。中西医康复技术各具独特优势,二者联合应用可发挥协同增效作用,成为该病症康复诊疗的重要发展方向。本文从病因病机、诊断标准、康复技术及中西医结合应用等方面综述卒中后抑郁的研究进展,为其临床诊疗与康复方案优化提供参考思路。

  关键词： 卒中后抑郁; 中西医结合康复; 病因病机; 诊断标准; 康复技术。

   

  Abstract: Post-stroke depression (PSD) is a common neuropsychiatric complication in stroke patients during rehabilitation, which seriously hinders neurological recovery and elevates mortality. Due to the influences of cognition, culture and other factors, early identification and intervention are still insufficient in clinical practice. Western medicine mainly interprets the pathogenesis of PSD from the dual hypotheses of endogenous and reactive mechanisms, with diagnosis based on DSM-5 criteria and rehabilitation focusing on neuromodulation and cognitive-psychological interventions. Traditional Chinese Medicine (TCM) categorizes PSD as stroke complicated with depression syndrome, characterized by root deficiency and branch excess, though syndrome differentiation remains inconsistent. Acupuncture, five-tone therapy and tuina are commonly used TCM approaches.Integrated Western and TCM rehabilitation shows synergistic effects and has become a promising direction for PSD management. This paper reviews the research progress of PSD in terms of etiology, pathogenesis, diagnostic criteria, rehabilitation methods and integrated therapy, so as to provide references for clinical diagnosis, treatment and rehabilitation optimization.

  Key words: Post-stroke depression; Integrated rehabilitation of Traditional Chinese Medicine and Western Medicine; Etiology and pathogenesis; Diagnostic criteria; Rehabilitation technology.

  提交时间：2026-05-18

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2026-04-04	10.12201/bmr.202605.00066V1	下载

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