脑梗死抑郁障碍临床特征分析  

Clinical Features of depressive disorder in patients with cerebral infarction

作　　者：王玉香[1] 崔传举[1] 李艾帆[1] 

机构地区：[1]郑州市第一人民医院,河南郑州450000

出　　处：《临床心身疾病杂志》2017年第4期139-141,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨脑梗死患者抑郁障碍的临床特征。方法将250例脑梗死患者根据汉密顿抑郁量表评分分为抑郁组（88例）和对照组（162例），比较两组患者汉密顿抑郁量表和日常活动能力量表评分、梗死次数及脑损伤部位。结果抑郁组汉密顿抑郁量表和日常活动能力量表评分显著高于对照组（P〈0．01），脑梗次数显著多于对照组（P〈0．01）；额叶脑损伤比例显著高于对照组（P〈0．01），其余损伤部位两组比较差异无统计学意义（P〉0．05）。结论脑梗后抑郁障碍患者有明显的抑郁情绪，梗死次数较多，功能缺损严重，脑损伤部位以额叶居多。Objective To study the clinical features of depressive disorder in patients with cerebral infarction. Method 250 cases of patients with cerebral infarction were selected and di- vided into depression group （88 cases） and control group （162 cases） according to HAMD, HAMD and ADL scores, infarction frequency, brain damage locations of the two groups were compared. Results HAMD and ADL scores of depression group were significantly higher than control group （P〈0.01）, infarction frequency was significantly more than control group （P〈0.01） ; frontal brain injury ratio was significantly higher than control group （P〈0. 01）, the difference of other injured parts between the two groups had no statistic significance （P〉0.05）. Conclusion Patients with depression after cerebral infarction have obvious depressive emotion, high infarction frequency and severe function defect. Frontal lobe is main location of brain damage.

关 键 词：脑梗死 抑郁障碍 临床特点 梗死次数 功能缺损 脑损伤部位 

分 类 号：R749.1[医药卫生—神经病学与精神病学]