摘要
目的研究卒中后抑郁的高危因素,为临床防治提供指导。方法随机法选择自2014年1月~2016年1月我院接受治疗的120例卒中后抑郁患者与120例单纯脑卒中(无抑郁)患者的临床资料,分别设为研究组与对照组,对比两组的各因素和卒中后抑郁的相关性。结果研究组的男女构成比、文化程度为初中及以下、退休、独居、高血压、冠心病的比例均高于对照组(P<0.05),研究组的心率变异率各指标均比对照组更低(P<0.05),心率变异率的各指标与卒中后抑郁具较高的相关性(P<0.05);研究组卒中后4-6d与1-3d、基底节区病变与脑梗塞发生抑郁的比例均高于其他(P<0.05)。结论卒中后抑郁的高危因素有女性、文化程度低、退休、独居、高血压、冠心病、基底节病变、脑梗塞、心率变异率低。脑卒中患者的抑郁预防应结合高危因素开展。
Objective To study the risk factors of post-stroke depression, and provide guidance for prevention. Methods The clinic data 120 with depression after stroke and 120 without depression after stroke were collected randomly from January 2014 to January 2016 in our hospital as study group and control group retrospectively. The factors of two groups were compared. Results The ratios of male and female, education degree above junior high school, retirement, living alone, hypertension, coronary heart disease in study group were higher than those in control group （ P〈0.05 ）, and heart rate variability indexes was lower than that in control group （ P〈0.05 ） . The correlation between indexes of heart rate variability and depression was higher （P〈 0.05 ） . The depression proportion of 4-6d and 1-3d, basal ganglia and cerebral infarction in study group was higher than other （P 〈 0.05 ） . Conclusion Risk factors of post-stroke depression are female, lower education level, retirement, loneliness, high blood pressure, coronary heart disease, basal ganglia lesion, cerebral infarction and low heart rate variability. Prevention of depression after stroke should consider high risk factors.
出处
《国际精神病学杂志》
2017年第3期483-486,共4页
Journal Of International Psychiatry
关键词
卒中后抑郁
高危因素
心率变异率
Post-stroke depression
High risk factors
Heart rate variability
