基底节脑出血后抑郁与残疾程度及日常生活能力的相关分析  

Correlation between Depression after Basal Ganglia Cerebral Hemorrhage and Disability Degree and Daily Living Ability

作　　者：姜杨 李进 谌红献[3] 蔡溢[1,2] JIANG Yang;LI Jin;CHEN Hong-xian;CAI Yi(School of Clinical Medicine,Hunan University of Chinese Medicine,Changsha 410007,China;Department of Geriatric Psychiatry,Brain Hospital of Hunan Provincial,Changsha 410007,China;Mental Health Institute,The Second Xiangya Hospital of Central South University,Changsha 410011,China)

机构地区：[1]湖南中医药大学临床医学院,长沙410007 [2]湖南省脑科医院老年及躯体疾病精神科,长沙410007 [3]中南大学湘雅二医院精神卫生研究所,长沙410011

出　　处：《中国临床心理学杂志》2020年第3期533-535,438,共4页Chinese Journal of Clinical Psychology

基　　金：湖南省精神行为障碍临床医学研究中心(项目编号:2018SK7002);湖南省脑科医院院级课题(项目编号:2018F02)。

摘　　要：目的:探讨基底节脑出血后抑郁与残疾程度及日常生活能力的相关性。方法:对符合入组标准的基底节脑出血患者60例,采用汉密尔顿抑郁量表17项(Hamilton depression rating scale,HAMD-17)评估抑郁症状的严重程度,治疗后采用改良Rankin量表(Modified Rankin Scale,MRS)评估患者残疾程度,日常生活能力量表--巴氏指数(Barthel index,BI)评估日常生活能力。结果:基底节脑出血后抑郁患者23例,患病率为38.3%(23/60);残疾程度与抑郁症状显著正相关(r=0.575,P=0.003);日常生活能力与抑郁症状显著负相关(r=-0.446,P=0.029)。结论:基底节脑出血后的抑郁发病率高,抑郁症状重的患者,残疾程度更高,日常生活能力更差。Objective:To explore the correlation between depression after basal ganglia cerebral hemorrhage and disability degree and daily living ability.Methods:a total of 60 patients with cerebral hemorrhage in basal ganglia were selected from the brain hospital of Hunan province,the Hamilton depression rating scale-17(HAMD-17)was used to estimate the severity of depression symptoms.Modified Rankin Scale was used to assess the degree of disability of the patient after treatment,and the Barthel index to assess daily living ability.Results:The prevalence of depression after basal ganglia intracerebral hemorrhage was 38.3%(23/60);The degree of disability was positively correlated with depressive symptoms(r=0.575,P=0.003);The ability of daily living was negatively correlated with depressive symptoms(r=-0.446,P=0.029).Conclusion:The incidence of depression after basal ganglia intracerebral hemorrhage is high,and patients with more severe depressive symptoms have higher degree of disability and worse daily living ability.

关 键 词：基底节脑出血 卒中后抑郁 残疾程度 日常生活能力 

分 类 号：R395.2[哲学宗教—心理学]