早期不同CT值与卒中后抑郁指数及其生活质量的关系  

The Relationship of Different CT Values, Stroke Depression and Quality of Life Index

作　　者：赵宏伟[1] 李宝全[1] 张晓明[1] 赵淑霞[1] 李晖[1] 

机构地区：[1]中国人民解放军159医院,河南驻马店463008

出　　处：《中国医药指南》2015年第22期34-35,共2页Guide of China Medicine

摘　　要：目的探讨早期不同CT值与卒中后抑郁指数及其生活质量的关系。方法对比分析31例卒中后抑郁(PSD)CT值20 Hu以上、59例CT值25 Hu以上、46例CT值30 Hu以上者一般情况如年龄、性别、发病至入院时间、文化程度、卒中类型、病变部位及抑郁自评量表(SDS)评分指数(抑郁指数)、治疗前后神经功能缺损评分(NDS)及日常生活质量评分(ADL)等。结果不同CT值间一般情况如年龄、性别、发病至入院时间、文化程度、卒中类型、病变部位等比较无显著性差异(P>0.05)。早期病变部位CT值越低,治疗及随访期间抑郁指数越高(P<0.05);NDS、ADL治疗前比较差异不显著(P>0.05),72 d后NDS、ADL比较差异较显著(P<0.05)。结论脑卒中者早期病变部位CT值越低,抑郁程度越高,预后生活质量越差。Objective Explore the relationship between different CT values early post-stroke depression and quality of life index. Method Comparison depression （PSD） CT value of 31 or more strokes after 20 Hu, 59 cases of CT values above 25 Hu, 46 cases of CT values for more than 30 Hu in general, such as age, sex, time from onset to hospitalization, education, type of stroke, lesions and self-rating depression scale （SDS） score index （depression index）, the neurological deficit score （NDS） and the daily quality of life score （ADL） and the like. Result As there was no significant difference （P〉0.05） by age, sex, time from onset to hospitalization, education, type of stroke, lesions, etc. between different CT values in general. The lower the Early lesions CT value, depression index during the treatment and follow-up higher （P〈0.05）; NDS, ADL before treatment difference was not significant （P〉0.05）, NDS, ADL difference 72 d after the more significant （P〈0.05）. Conclusion Stroke were lower early lesions CT value, the higher the degree of depression, the worse the prognosis quality of life.

关 键 词：卒中后抑郁 CT值 抑郁指数 神经功能缺损评分 日常生活质量评分 

分 类 号：R743.3[医药卫生—神经病学与精神病学]