摘要
目的探讨卒中后抑郁的发生率及影响因素。方法选择2008年7月～2009年4月在天津医科大学总医院神经内科卒中单元收治的158例脑卒中急性期患者为观察对象，登记患者基本信息。发病2w、3m、6m后予HAMD量表评分观察预后。结果卒巾后抑郁存发病14d时发生率为45．6％，3m后50．0％，6m后48．9％，以轻中度抑郁为主，发病6m时重度抑郁出现。女性、年龄在40～50岁之间、文化程度在大专或大专以上、自评性格为内向急躁、月人均收入在500元以下、周工作时间在51～60h有PSD高发趋势，但差异无统计学意义（P〉0．05）。结论卒中后抑郁发生率3m达峰，发病人群随时间变化，女性、年龄在40～50岁之间、高文化程度、自评性格为内向急躁、低收入。
Objective To explore the incidence and affective factors of post-stroke depression（PSD）. Methods 158 patients with acute stroke received and cured in Neurologic Department in Tianjin Medical University General Hospital were observed. The basic information of the patients was recorded. The scores of HAMD after 2 weeks,3 months and 6 months were collectecd. Results The incidence rate of PSD was 45.6% after 14d,50.0% after 3 months,and 48.9% after 6 months. Most of them showed mild or moderate depression. Those were female,age between 40 to 50,education level be- ing above college graduate,introversion and irritable characteristics, monthly salary below 500 Yuan, and weekly operating time between 51 to 60 had higher PSD tendency. But there＇ s no statistic difference（ P 〉 0.05 ）. Conclusions 3 month after stroke is the peak time of PSD. The patients of PSD are changed over a prolonged period. Female,age between 40 to 50, higher level of education, introversion and irritable characteristics, low monthly salary, and long weekly operating time may be related to PSD tendency.
出处
《中风与神经疾病杂志》
CAS
CSCD
北大核心
2011年第3期244-246,共3页
Journal of Apoplexy and Nervous Diseases
基金
卒中后抑郁发生及其结局的前瞻性队列研究
关键词
卒中单元
卒中后抑郁
发生率
相关因素
Stroke unit
Post-stroke depression
Incidence rate
Relative factors
