脑梗死后抑郁相关因素的Logistic回归分析  

Logistic Regression Analysis of Depression-Correlative Factors in Patients after Cerebral Infarction

作　　者：廖瑜[1] 赵笛[2] 

机构地区：[1]南京医科大学附属无锡第二医院神经内科,江苏省无锡市214002 [2]华中科技大学同济医学院2004级临床专业

出　　处：《中国全科医学》2008年第7期564-566,共3页Chinese General Practice

摘　　要：目的了解脑梗死患者脑梗死后抑郁（PSD）患病情况及其相关因素,为脑梗死患者的心理治疗提供依据。方法调查分析脑梗死后抑郁患者的年龄、性格、受教育程度、病变部位及康复治疗状况,对调查结果采用Lo-gistic回归分析方法进行统计学分析。结果有肢体活动障碍和不良反应且未早期接受康复治疗、性格内向的患者抑郁的发生率高。病变位于皮质部位与脑梗死后抑郁有一定相关性（P〈0.05）。社会因素方面,住院期间家人不够关心、住院时间延长者抑郁发生率明显增高（P〈0.01）。〈50岁和〉65岁的患者抑郁发生率较50-65岁的高。而早期接受康复治疗、肢体功能恢复状况好可能减少PSD发生（P〈0.001）。抑郁发生情况与患者的性别、婚否、经济状况及睡眠状况无关（P〉0.05）。结论抑郁是脑梗死患者住院期间最常见的心理障碍,应针对其致病相关因素加强其心理治疗及护理。Objective To study the condition of patients with post - cerebral infarction depression （PCD） and its correlation factors so as to provide a theoretical basis for psychological treatment. Methods The conditions of age, disposition, education level, diseased region, treatment and rehabilitation of PCD patients were investigated and analyzed. The results were statistically analyzed by logistic regression method. Results There was a high incidence of PCD in the patients who have impaired limb motion but no rehabilitation treatment in the early stage, or an introverted disposition. The lesion in the cortex also showed a certain correlation with PCD （ P 〈 0.05 ）. The patients with no adequate care from their families or with a prolonged duration of hospitalization presented marked higher incidence of PCD （ P 〈 0. 01 ）. The study also revealed that the patients younger than 50 or older than 65 have a higher incidence of PCD than those aged from 50 to 65 ; while those accepting early rehabilitation treatment and getting better recovery in limb motion function had a lower incidence of PCD （ r = 0. 047, P 〈 0. 01 ）. PCD was not correla- tive with the gender, marriage, economic state and sleep state of the patient （ P 〉 0. 05）. Conclusion Depression is one of the most common psychiatric disorders in patients with cerebral infarction during the period of hospitalization. The psychological treatment and nursing should be enhanced according to the relative pathogenic factors.

关 键 词：脑梗死 抑郁症 心理疗法 

分 类 号：R749.42[医药卫生—神经病学与精神病学]