脑卒中后抑郁与脑损伤部位相关性临床分析  

Clinical analysis of the relationship between post-stroke depression and the region of brain injury

作　　者：赵红 魏文化 

机构地区：[1]河南驻马店市第一人民医院神经内科,驻马店463000

出　　处：《中国实用神经疾病杂志》2013年第3期25-26,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨脑卒中患者抑郁的发生与损伤部位的关系。方法 2010-10—2011-10 150例脑卒中住院患者,全部通过临床症状及MRI检查对病灶定位,采用汉密尔顿抑郁量表对脑卒中患者进行抑郁评分。结果脑卒中后抑郁68例,发生率45.33%,其中左侧发生率高于右侧,以额颞叶、基底节区为主。结论脑卒中患者抑郁的发生与卒中部位密切相关,其中左侧大脑半球的额颞叶及基底节区相关性更为显著。Objective To explore the relationship between poststroke depression（PSD）and the region of brain injury.Methods Totally 150 hospitalized patients with cerebral infarction from October 2010 to October 2011 were collected from the department of neurology in our hospital.Preoperative diagnosis was made by MRI scan.Follow-up after stroke was carried out.Post stroke depression was assessed by Hamilton depression scale（HAMD） score.Results There were 68 cases with PSD in all the patients.The incidence rate was 45.33%.The incidence of PSD was higher in the left-hemisphere stroke,frontal-temporal stroke and basal ganglia stroke.Conclusion Stroke lesions affects the incidence of post stroke depression,especially left frontal lobe and basal ganglia are correlatd to depression after stroke.

关 键 词：脑卒中后抑郁 汉密尔顿抑郁量表 卒中部位 

分 类 号：R743.3[医药卫生—神经病学与精神病学]