摘要
目的探讨脑梗死后抑郁状态(PSD)发生与神经功能损伤程度、梗死范围、临床类型及其他相关社会心理因素等关系,以便开展积极有效的防治措施。方法采用汉密尔顿抑郁量表(HAMD),中国卒中量表(CSS),并自制相关情况调查表对126例脑梗死患者进行分组观察,统计分析抑郁发生与年龄、性别、神经功能损伤程度、临床类型(OCSP)以及其他因素的相关性。结果126例脑梗死患者存在不同程度的抑郁情绪者45例,PSD发病率为35.71%,PSD发生与年龄,性别的关系不大,而与长期疾病困扰、既往多次梗死、多发性病灶梗死、神经功能损伤程度及临床类型等因素有关。结论脑梗死后抑郁发生率较高,应得到临床医生的重视。早期诊断及治疗卒中后抑郁有利于疾病康复。
Objective To investigate the correlation of post -cerebral infarction depression to neurological impairment, infarction size, clinical type and other related social psychic factors so as to facilitate carrying out active prevention and cure measures. Methods Hamilton＇s depression scale （HAMD） , Chinese stroke scale （CSS） and self - made related questionnaire were utilized to observe cerebral infarction subgroup patients and analyze the correlation of depression to age, sex, neurological impairment and clinical type. Results Of the 126 patients with cerebral infarction, 45 patients were depressed, the rate of PSD were 35.71%. PSD was related to multifactors including long term disease state, repeated infaction history and multifocal infarction, not related to age and sex. Neurological impairment and clinical type were positively related to PSD. Conclusion The prevalence of post - infarction depression is very high, which should be attached importance to. Early recognition and treatment of depression would facilitate rehabilitation.
出处
《实用心脑肺血管病杂志》
2006年第3期186-188,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
脑梗死
抑郁症
相关因素
Cerebral infarction
Depressive disorder
Correlation factor
