目的观察对本社区脑卒中患者伴发抑郁的患病率、发病程度、综合干预治疗的情况。方法以109例社区脑卒中患者为对象,应用ZUNG抑郁自评量表(SDS)进行抑郁评估,对抑郁患者进行有效的心理及药物治疗,进行自身前后比较。结果本组脑卒中患者抑郁患病率48.6%,其患病率与年龄有关,与性别、卒中类型无关,经干预治疗后下降至33.9%。结论应对脑卒中患者进行抑郁调查和及时治疗。 Objective To observe the prevalence and incidence of depression in patients with stroke in our community and the situation of comprehensive intervention. Methods A total of 109 community-based stroke patients were enrolled in this study. Depression was assessed using the Zung Self-rating Depression Scale (SDS), and effective psychotherapy and medication were performed on patients with depression. Results The prevalence of depression in this group of stroke patients was 48.6%. The prevalence was related to age, regardless of sex and stroke type, and decreased to 33.9% after intervention. Conclusion Stroke patients should be investigated for depression and timely treatment.