摘要
目的:调查失语性脑卒中后抑郁与生物、心理及社会因素的关系。方法:选择253例失语性脑卒中患者,按是否发生抑郁分为抑郁组157例和对照组96例,采用巴氏评分(BI)、美国国立卫生院卒中量表(NIHSS)、卒中后失语患者抑郁问卷-医院版(SADQ-H)、艾森克个性问卷(EPQ)、领悟社会支持量表(PSSS)进行评定。结果:失语性脑卒中后抑郁的发生率为62.0%。单因素分析显示失语性脑卒中后抑郁主要反映在性别、学历、居住情况、个人收入、血管高危因素、并发症、失语类型、失语程度、BI、NIHSS评分、EPQ分值、PSSS分值方面有差异。多元Logistic逐步回归(前进法)分析显示失语性脑卒中后抑郁发病主要与女性、血管高危因素、并发症、失语程度、BI、NIHSS评分相关。结论:失语性脑卒中后抑郁的发生是生物、心理、社会共同作用的结果。
Objective： To investigate the relationship between depression after aphasic stroke as well as biological, psychological and social factors. Methods： According to the occurrences of depression, 253 aphasic stroke patients were divided into depression group （n=157） and control group （n=96）. The Barthel score （BI）, American National Institutes of Health Stroke Scale （NIHSS）, stroke aphasic depression questionnairehospital version （SADQ-H）, Eysenck Personality Questionnaire （EPQ）, perceived social support scale （PSSS） were used to evaluate all the patients. Results： The incidence of depression after aphasic stroke was 62%. Single factor analysis showed that the depression after aphasic stroke was mainly affected by gender, education, income, living conditions, vascular risk factors, complications, the types of aphasia, aphasia, BI, NIHSS scores, EPQ scores, and PSSS scores. Multivariate Logistic regression （forward） analysis revealed that depression after strokes was correlated with female gender, cardiovascular risk factors, complications, aphasia, BI, NIHSS score. Conclusion： The incidence of depression after cerebral aphasic apoplexy is attributable to biological, psychological, and social factors.
出处
《神经损伤与功能重建》
2014年第4期314-316,共3页
Neural Injury and Functional Reconstruction
关键词
失语性脑卒中
抑郁
影响因素
aphasic stroke
depression
influence factor
