卒中后抑郁的相关因素及中医证候研究的中期报告摘要：介绍卒中后抑郁的相关因素及中医证候研究的中期报告。卒中后抑郁是一种常见的精神障碍，其中一些病例的发生率高达50％以上。本研究旨在探讨卒中后抑郁的相关因素及中医证候，并采用前瞻性病例对照研究方法进行研究。研究发现，年龄、性别、婚姻状况、教育程度、卒中类型、卒中部位、卒中发作后时间等因素均与卒中后抑郁相关。在中医证候方面，研究发现气郁证、血瘀证、肝肾不足证等证候与卒中后抑郁有关。这些证候的出现可能与卒中后身体和情绪的变化有关。在治疗方面，传统中医治疗对卒中后抑郁有明显作用，但需要个体化治疗。本研究还发现，卒中后抑郁的发生和复发具有一定的预测性，因此在卒中康复过程中应加强抑郁识别与干预。关键词：卒中，抑郁，中医证候，前瞻性病例对照研究Abstract:Thisarticleprovidesamid-termreportonthestudyofrelatedfactorsandTCMsyndromesassociatedwithdepressionafterstroke.Depressionafterstrokeisacommonmentaldisorder,withsomecaseshavingamorbidityrateofmorethan50%.ThepresentstudyaimstoexploretherelatedfactorsandTCMsyndromesofdepressionafterstroke,andemploysaprospectivecase-controlstudydesign.Thestudyfoundthatage,gender,maritalstatus,educationlevel,stroketype,strokelocation,andpost-stroketimeareallassociatedwithdepressionafterstroke.WithregardtoTCMsyndromes,thestudyfoundthatqidepressionsyndrome,bloodstasissyndrome,andliverandkidneydeficiencysyndromearerelatedtodepressionafterstroke,whichmayberelatedtothechangesinthebodyandemotionafterstroke.TraditionalTCMtreatmenthasasignificanteffectondepressionafterstroke,butindividualizedtreatmentisneeded.Thestudyalsofoundthattheoccurrenceandrecurrenceofdepressionafterstrokehaveacertainpredictiveability,soit'snecessarytostrengthenidentificationandinterventionofdepressionduringstrokerehabilitation.Keywords:stroke,depression,TCMsyndromes,prospectivecase-controlstudy