脑梗死后出血性转化六个月自然转归情况观察  

The Natural Conditions Observation of Patients with Hemorrhagic Transformation after Cerebral Infarction in Six Month

作　　者：殷梅[1] 朱榆红[1] 宋道远[1] 李燕[1] 贾文姬[1] 李春艳[1] 

机构地区：[1]昆明医科大学第二附属医院神经内科,云南省昆明市650101

出　　处：《实用心脑肺血管病杂志》2013年第4期50-52,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的观察脑梗死后出血性转化患者6个月内自然转归情况。方法调查38例脑梗死后出血性转化患者6个月内的自然转归情况,对神经功能缺损评分(NIHSS)和日常生活能力量表(ADL)评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分进行相关性分析。结果 44.7%的患者伴发焦虑症状,39.5%的患者出现抑郁症状,57.9%的患者同时出现焦虑和抑郁障碍。NIHSS评分与HAMD评分、HAMA评分呈正相关(P<0.05);ADL评分与HAMD评分、HAMA评分呈负相关(P<0.05)。结论脑梗死后出血性转化的严重程度可以增加患者情感障碍的发生。Objective To observe the natural conditions of patients with hemorrhagic transformation after cerebral infarction in six months.Method To investigate the 38 patients′s natural conditions with six months,and the correlation analysis between National Institute of Health Stroke Scale（NIHSS）,Activities of Daily Living（ADL）,Hamilton Anxiety Scale（HAMA）score and Hamilton Anxiety Scale（HAMA）score.Results There were 44.7% of patients with anxiety symptoms,39.5% of patients with depressive symptoms,and 57.9% of patients with both anxiety and depressive symptoms.Correlation of NIHSS score and HAMD score,HAMA score was positively（P0.05）;the negative correlation between ADL score and HAMD score,HAMA score（P0.05）.Conclusion The severity of hemorrhagic transformation after cerebral infarction can increase the incidence of affective disorders of patients.

关 键 词：脑梗死 出血性转换 情感障碍 

分 类 号：R743.34[医药卫生—神经病学与精神病学]