急性期青年脑卒中心理障碍37例临床观察  

Clinical observation of 37 cases of acute stage of stroke in youth mental disorder

作　　者：谈伟[1] 

机构地区：[1]江苏省泗阳康达医院神经内科,江苏泗阳223700

出　　处：《世界最新医学信息文摘》2013年第9期38-38,36,共2页World Latest Medicine Information Electronic Version

摘　　要：目的探讨青年脑卒中急性期心理障碍及相关因素。方法对符合脑卒中诊断标准的37例青年脑卒中患者，应用SCL-90量表及汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）进行调查、评估和诊断，并比较分析青年脑卒中急性期心理障碍的相关因素。结果37例青年脑卒中患者急性期23例出现心理障碍，发生率62．2％，男性明显高于女性（P〈0．01）；相关因素有自身性格、日常生活能力、家庭关系、神经功能缺损程度及近期负性生活事件等。结论青年脑卒中急性期产生心理障碍的因素主要为生物学因素和社会心理学因素两大类。Objective To investigate mental disorder and related factors for young adult stroke in acute stage. Methods 37 young patients with stroke were evaluated with Symptom Checklist-90（SCL-90）, Hamilton Depression Scale（HAMD）and Hamilton Anxiety Scale（HAMA）. The mental disorder and related factors of these patients in acute stage were analyzed. Results Of 37 patients, 23cases（62.2 % ）had mental disorder in acute stage and incidence rate of male was significantly higher than that of female （P〈0.01）. The related factors included self-character, activity of living, family relationship, the degree of nervous functional defects and recent negative life events, etc. Conclusion The factors related with mental disorder of young adult stroke in acute stage are mainly biological and social psychic.

关 键 词：青年脑卒中 心理障碍 相关因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]