脑卒中后情绪障碍的临床分析  

Clinical Report of Post-stroke Emotional Disorder

作　　者：苏占清[1] 康冰[1] 朱运斋[1] 黄敏[1] 翟毅[1] 

机构地区：[1]南京医科大学附属脑科医院,210029

出　　处：《中国心理卫生杂志》2002年第7期471-473.,共3页Chinese Mental Health Journal

摘　　要：目的 :比较脑卒中后单纯焦虑障碍 (PSPAD)、脑卒中后单纯抑郁障碍 (PSPDD)、脑卒中后焦虑抑郁共病 (PSCAD)的发生率、严重程度、症状特点及相关因素。方法 :采用SAS、SDS量表等对 115例脑卒中病人进行测评 ,收集病程、性别、卒中次数、肌力等资料 ,对所获资料统计分析。结果 :PSPDD(2 0 % )、PSCAD (2 7 8% )的发生率均高于PSPAD (10 4% ) ,差异有显著性 (P均 <0 0 5 )。PSCAD较PSPDD、PSPAD严重。PSPAD的焦虑症状与PSCAD相比 ,前者植物神经 (躯体化 )症状 (如尿意频数、躯体疼痛 )较突出 ,后者焦虑的核心症状 (如焦虑、静坐不能 )较明显 ;PSCAD的抑郁症状同PSPDD相比 ,前者睡眠障碍、易激惹等阳性症状较突出 ,后者的兴趣丧失、生活空虚感等阴性症状明显。相关因素三者异中有同。结论 :卒中后情绪障碍值得重视 ,应从心理、社会。Objective:To investigate the rate of emotional disorder after stroke Method:115 patients with stroke were evaluated by two psychiatrists according to criteria of ICD-10 They also completed SAS and SDS Results:The rate of PSPDD (post-stroke pure depressive disorder) was 20%, that of PSCAD (post-stroke combined anxiety and depressive disorder) was 28%, and the rate of PSPAD (post-stroke pure anxiety disorder) was 10% The former two were significantly higher than the last (P<0 05) Autonomic symptoms were the characteristic of PSPAD, irritable and sleep disorders were more common in PSCAD, while lose of interests, senseless of life were the core feature of PSPDD Conclusion:Post-stroke enwtional disorders are common in general hospital

关 键 词：脑卒中 情绪障碍 临床分析 焦虑障碍 抑郁障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R749.4[医药卫生—临床医学]