不同年龄段患者卒中后心理问题的临床研究  

Clinical Study on Post-Stroke Psychologycal Problems of Patients at Different Ages

作　　者：钟善全[1] 黄樱[1] 刘铮[1] 黄旭华[1] 

机构地区：[1]赣南医学院第一附属医院神经内科,江西赣州341000

出　　处：《赣南医学院学报》2016年第6期912-914,共3页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：江西省卫生计划生育委员会科技计划(编号:20061127)

摘　　要：目的：探讨不同年龄段患者卒中后心理问题的特点。方法：选择A（61-70岁）、B（51-60岁）、C（41-50岁）三个不同年龄段的卒中患者各120例,均在发病2-3周病情稳定后,进行汉密尔顿自评量表（HAMD）、症状自评量表（SCL-90）、焦虑自评量表（SAS）及抑郁自评量表（SDS）评定。同时用年龄及性别相匹配的健康人对照。结果：三个卒中组4种量表总分均高于相应对照组（P〈0.01）。且三个卒中年龄组中,年龄越小,总分越高。结论：中青年卒中后患者抑郁、焦虑等心理问题的发病率显著增高,临床中应及时给予相应的药物及心理康复治疗,以利于患者尽早康复。Objective： To investigate the characteristics of post-stoke psychological problems in patients at different ages.Methods： Patients with stroke were selected and divided into 3 groups according to age,group A（ 61 - 70 years old）,group B（ 51 - 60 years old）,and group C（ 41 - 50 years old）,with 120 cases respectively. All patients were evaluated by using scales of HAMD,SAS,SCL-90 and SDS,2 - 3 weeks after onset stoke. At the same time,they were compared with matched healthy controls with the same age and gender. Results： Four scale total scores of the three stroke groups are higher than the control group（ P〈0. 01）. And in three stroke groups,the younger,the higher the score. Conclusion： The incidence of depression,anxiety and other psychological problems were significantly higher in young and middle-aged post-stroke patients. Timely and appropriate drug and psychological rehabilitation should be administered clinically to facilitate the rehabilitation of the disease as soon as possible.

关 键 词：年龄 卒中后 临床研究 心理问题 

分 类 号：R743[医药卫生—神经病学与精神病学]