老年急性脑梗死后焦虑抑郁状态的临床研究  

Elderly acute cerebral infarction anxiety depression status of clinical research

作　　者：郑国俊[1] 兰丽梅[1] 梁晓艳[1] 曾春梅[1] 

机构地区：[1]南方医科大学附属小榄医院神经内科,广东中山528415

出　　处：《湖南中医药大学学报》2010年第12期27-28,47,共3页Journal of Hunan University of Chinese Medicine

摘　　要：目的探讨老年急性脑梗死后焦虑抑郁状态的影响因素及病因。方法回顾性分析我院自2007年1月至2009年6月收治的89例急性脑梗死后抑郁症患者的临床资料,分析相关影响因素及病因。结果 (1)本组89例患者中属于轻度抑郁焦虑者23例,占25.8%;属于中度抑郁焦虑者48例,占53.9%;属于重度抑郁焦虑者18例,占20.2%。(2)从性别、年龄、病变部位、病程、文化程度、吸烟史、婚姻状况等方面比较均有显著相关性(P<0.01),工作性质影响不大(P>0.05)。(3)抑郁焦虑程度与神经功能缺损程度评分之间基本呈现良好的正相关关系。结论焦虑抑郁情绪改变是老年急性脑梗死后的常见并发症,多种因素均可影响其发生率,另外,焦虑抑郁情绪不利于脑神经功能的恢复。Objective To investigate the onset of acute cerebral infarction after the onset of anxiety and depression factors and causes.Methods A retrospective analysis of our hospital from January 2007 ~ June 2009, 89 cases of acute cerebral infarction treated patients with depression after the clinical data and analysis of relevant factors and causes.Results （1） The group of 89 patients with mild depression and anxiety in 23 patients, 25.8%;is moderate depression and anxiety in 48 cases, accounting for 53.9%; are severe depression and anxiety in 18 cases,20.2%; （2） sex, age, lesion location, duration, educational level, smoking history, marital status, etc. were significantly correlated （P0.01）, the nature of work have little effect （P0.05）; （3） depression Anxiety and neurological deficit scores between the base show a good positive correlation. Conclusion Anxiety and Depression in elderly patients with acute cerebral infarction after the change is a common complication, many factors can affect the incidence, In addition, anxiety and depression is not conducive to the recovery of brain function.

关 键 词：脑梗死 抑郁 老年 相关因素 

分 类 号：R743.1[医药卫生—神经病学与精神病学]