缺血性卒中后抑郁危险因素分析  

Risk factors analysis of post ischemic stroke depression.

作　　者：王明华[1] 罗榕[1] 

机构地区：[1]峨眉山市人民医院内科,四川峨眉山614200

出　　处：《四川医学》2013年第11期1685-1687,共3页Sichuan Medical Journal

摘　　要：目的 研究对缺血性卒中后抑郁（post ischemic stroke depression, PISD）的危险因素,为临床防治提供依据.方法 2009年1月～2012年1月,在我院收治缺血性卒中患者87例.根据缺血性卒中后抑郁（post ischemic stroke depression, PISD）发生与否分为研究组和未有PISD的对照组,分析PISD发生的危险因素.结果 28.4%缺血性卒中患者发生PISD,研究组额叶、颞叶病灶比例高于对照组,NIHSS评分高于对照组,差异有统计学意义（P〈0.05）.结论 缺血性卒中患者容易发生PISD,尤其是NIHSS评分高,病灶位于额叶、颞叶患者,应引起临床高度重视.Objective To study the risk factors of post ischemic stroke depression （PISD） ,. and provide the basis for clinical prevention. Methods Recruited isehemic stroke patients in our hospital prospectively from Jan 2009 to Jan 2012. We as- signed PISD cases into research group and non-PISD cases were served as controls, compared the risk factors between the two groups. Results 28.4% cases with depression were identified. PISD patients showed higher rates of infarcts in the areas of the frontal and temporal lobe （P 〈 0.05）. The degree of PISD was positively correlated with the score of NIHSS（P 〈 0. 05）. Conclu- sion The patients with isehemic stroke especially in the areas of the frontal and temporal lobe, and had a high score of NIHSS might be probability result in PISD.

关 键 词：抑郁 缺血性卒中 危险因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]