老年卒中后抑郁及其相关因素的研究  

Study on incidence and related factors of post-stroke depression in the elderly

作　　者：宋文娟[1] 吴俊[1] 高春[1] 马莉[1] 尚卓[1] 石颖[1] 

机构地区：[1]南京市市级机关医院神经内科,江苏省南京市210008

出　　处：《实用老年医学》2008年第1期36-39,共4页Practical Geriatrics

摘　　要：目的研究老年人卒中后抑郁(PSD)的发生率及其相关因素。方法采用自制一般情况调查表、抑郁自评量表(SDS)、汉密尔顿抑郁量表(HAMD)、简易智能量表(MMSE)及改良爱丁堡-斯堪的那维亚神经功能缺损评分量表(SSS)对卒中患者进行测评,并对有显著意义的因素进行Logistic回归分析。结果PSD发生率为41.6%,其中轻度22.3%,中度15.7%,重度3.6%,以轻、中度抑郁为主。影响PSD发生的相关因素有性别、年龄、抑郁症史、病灶数量、高血压、饮酒、认知功能及神经功能缺损。结论PSD发生率较高,是生物-心理-社会因素共同作用的结果。Objective To investigate the incidence and related factors of post-stroke depression（PSD）. Methods 166 patients with stroke were assessed by self-designed questionnaire, self-rating depression scale（ SDS）, Hamilton depression rating scales（ HAMD）, mini-mental state examination（MMSE） and scandinavian stroke scale （SSS）. A multiple factor analysis with the Logistic regression method was performed on the significant related factors of PSD. Results The incidence of PSD was 41.6% , including 22. 3% of mild patients, 15.7% moderate patients and 3.6% severe patients. Mild or moderate PSD was more common. Logistic regression analysis showed that related factors of PSD included sex, age, history of depression, number of lesions, hypertension, drinking, cognitive dysfunction and neurological deficits. Conclusions The incidence of PSD is high, and it may be caused by biology-psychology-social factors.

关 键 词：卒中后抑郁 发生率 相关因素 老年人 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R749.29[医药卫生—临床医学]