急性期脑卒中后抑郁临床分析  

Clinical analysis of 152 patients with poststroke depression

作　　者：邹立[1] 陈现红[1] 黄小让[1] 

机构地区：[1]广州军区总医院康复科,广州510010

出　　处：《中国实用神经疾病杂志》2012年第22期11-13,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨脑卒中后急性期抑郁的发生率及相关因素。方法对152例住院急性期病例采用汉密尔顿(Hamil-ton)抑郁量表评定抑郁程度,同时对神经功能缺失评分进行测评。根据抑郁量表测评结果将病例分成抑郁组和非抑郁组,从性别、年龄、卒中类型、病灶部位、单一或多发病灶、神经功能缺失程度等方面进行分析比较,阐述卒中后抑郁与诸因素的关系。结果本组病例卒中后抑郁发生率为40.8%,抑郁的发生与性别、卒中类型无关(P>0.05);卒中后抑郁发生率在大脑皮质下病变与其他病变部位比较,差异有统计学意义(P<0.025);神经功能缺失程度与对照组比较差异有统计学意义(P<0.05)。结论卒中后抑郁是脑卒中后的常见并发症,与病变部位、病灶数及神经功能缺失程度有关。Objective To research the incidence and the clinical characteristics of poststroke depression（PSD）. Methods All the 152 patients with cerebral stroke completed depression rating with Hamilton depression rating scale （HAMD）, and were divided into PSD group and non-PSD group according to the scores. The relationships between PSD with the clinical fac- tors including sex, storke type, lesion location, the number of lesions and degree of neurological deficit （HIHSS） were ana- lyzed. Results The incidence of PSD was 40.8 %. The incidence of PSD in patients with subcortical infarction were significantly higher than the others （P〈0.05）. Compared with the non-PSD group, the degree of neurological deficit has significant difference in PSD group （P〈0.05）. Conclusion PSD is common complication of the patients with cerebral stroke, subcortical infarction and degree of neurological deficit are related to the incidence of PSD.

关 键 词：脑卒中 卒中部位 神经功能缺失 抑郁情绪 

分 类 号：R743.3[医药卫生—神经病学与精神病学]