脑梗死后抑郁及相关因素的研究(附200例报告)  

A study of incidence and related factors of depression after cerebral infarction

作　　者：刘艳[1] 余华峰[1] 

机构地区：[1]首都医科大学附属北京同仁医院神经内科,100730

出　　处：《北京医学》2004年第3期147-149,共3页Beijing Medical Journal

基　　金：北京市科委资助项目 (编号 :95 3 3 0 40 0 5 )

摘　　要：目的　研究脑梗死后抑郁的发生率及相关因素。方法　采用抑郁自评量表 (SDS)及汉密尔顿抑郁量表 (HAMD)并自制一般情况调查表对脑梗死患者进行测查。用t检验对相关因素进行分析并计算发病率。结果　脑梗死后抑郁发病率为 35 %。影响抑郁发病的因素有女性、学历、家庭不和、非妻子护理、3种以上合并症、既往抑郁史、近期负性生活事件、前部病灶、病灶数目、神经功能缺损等。结论　脑梗死后抑郁发病率较高且受多种因素影响。Objective To investigate the incidence and related factors of depression after cerebral infarction.Methods The patients with cerebral infarction were assessed by SDS?HAMD and self designed questionnaire.A multiple factor logistic analysis was carried out to analyze related factors.Results The incidence of depression is 35%.The related factors are female?educational level?caregivers?family harmony?negative life accidents?number and location of lesions?history of depression and deficiency of neural function.Conclusions The incidence of depression after cerebral infarction is high. It may be caused by lots of factors.

关 键 词：脑梗死 抑郁症 功能康复 HAMD 生活质量 

分 类 号：R743.33[医药卫生—神经病学与精神病学]