卒中后抑郁症患者的临床特征  

Characteristics of the Patients with Post-stroke Depression:208 Cases Report

作　　者：聂忆秋 刘式威[2] 吕霞 张梅奎[2] 杜侃[2] 

机构地区：[1]北京京煤集团总医院神经内科 [2]解放军总医院神经信息中心 [3]解放军65426部队医院

出　　处：《中国康复理论与实践》2006年第9期813-814,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨卒中后抑郁症患者的临床特征。方法回顾性分析我院2004～2005年卒中后抑郁症患者208例。结果和结论卒中1个月后抑郁症的发生率较1周时显著增高(P<0.001)。女患者抑郁症发病率比男患者显著增高(P<0.001)。额颞顶皮质区受累患者抑郁症的发生率比其他部位有显著增高(P<0.01)。神经功能缺损越重,抑郁症的发生率越高。抑郁症患者肌力恢复情况较非抑郁症患者差(P<0.05)。中年年龄段患者抑郁症的发生率明显高于老年年龄段患者(P<0.01)。Objective To investigate the characteristics of the patients with post-stroke depression （PSD）. Methods 208 cases of patients with stroke were analyzed retrospectively. Results and Conclusion The PSD occurred more frequently within the first month but less on the first week （P〈0. 001）. The incidence of PSD was higher in female than in male （P〈0. 001）. Frontal, temporal, parietal cortices lesion significantly increased the incidence of the PSD compared with in other area（P〈0.01）. The more severely the neural function was damaged, the higher the incidence of the PSD was. The muscle strength of patients with PSD recovered poorer than those without PSD. There was significant difference in the incidence of the PSD between the middle age group and aged group （P〈0.01）.

关 键 词：脑卒中 抑郁症 发生率 相关因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]