Post-stroke Depression And Vertebral-Basal Artery TCD Examination Correlation Studies

Purpose:This topic is of post stroke depression (qi depression transforming into fire type) patients for drug treatment, and to observe the effect of, The use of TCD detection, to observe the cerebral circulation of PSD patients, and the hemodynamic changes in patients with PSD of the basilar artery were analyzed, so as to guide the clinical application, provides research ideas and new theory.Method:Comparison of the results of HAMD show the efficacy of the two groups after treatment:the treatment group compared with the control group, P<0.05, has statistical significance, the efficacy of the treatment group80%, control group curative effect in73%, are effective, but the treatment group than the control group. Show two groups before and after treatment, HAMD score comparison: the two groups before treatment and after treatment was compared, P<0.05, with statistical significance, in the treatment group compared with the control group, P<0.05, had statistical significance. The treatment group was better than the control group. Show two groups before and after treatment, NIHSS score comparison: two groups of patients before treatment and after treatment was compared, P<0.05, with statistical significance, in the treatment group compared with the control group, P<0.05, has statistical significance, the treatment group than the control group. Show two groups before and after treatment, ADL score comparison:the two groups before treatment and after treatment was compared, P<0.05, there was statistical significance. In the treatment group compared with the control group, there was statistical significance in P<0.05, the treatment group than the control group. Display the mean flow velocity contrast:Vm treatment for two patients in group PSD TCD right VA and BA than before and after increasing quickly, P<0.05, with statistical significance, in the Vm group therapy left VA after treatment compared with no statistical significance. After treatment, Vm treatment group, right VA and BA compared with those in the control group Vm, P<0.05, Vm in treatment group were statistically significant, slightly faster than the control group, and Vm treatment left VA after the comparison between the two groups was not statistically significant. Display the pulsatility index comparison:PI group two patients TCD right VA and BA after P<0.05, decreased than before treatment, there was statistical significance, left in the BA group before treatment and after treatment no significant. In the treatment group compared with the control group, the right VA and BA PI P<0.05, the treatment group had statistical significance, PI is slightly lower than that of the control group. Left VA PI had no statistical significanceConclusion:Two groups of antidepressant treatment are effective, the efficacy of the treatment group80%, control group curative effect in73%, but the treatment group than the control group. Improve depression after treatment, HAMD score decreased, NIHSS scale score decreased, the ADL scale score increased, PSD level correlated with activities of daily living, neural function defect degree. PSD right vertebral-basilar artery mean flow velocity after treatment than before treatment is added fast, pulsatility index was decreased compared with that before treatment, no significant difference between the left vertebral artery Vm and PI, the average flow velocity contrast right vertebral artery, indicating that there may be bilateral vertebral artery blood flow velocity is not consistent, namely the brain laterality cerebral dominance...