卒中后急性期抑郁状态的相关因素临床分析

The clinical study on the relative factors of post stroke depression in stroke acute phase

目的探讨脑卒中后急性期抑郁的发生率及相关因素。方法对139例住院诊断为脑卒中的急性期患者用自制的一般情况调查表及汉密尔顿抑郁量表、改良的爱丁堡斯堪的那维亚神经功能缺损评分表进行调查及评分。结果脑卒中后抑郁的发生率为35.97%,抑郁的发生与性别、职业、文化程度及病灶部位没有关系,与神经功能缺损及日常生活能力依赖有密切关系。结论脑卒中后抑郁是脑卒中的常见并发症,与神经功能缺损、日常生活能力依赖等有密切关系,为预防脑卒中后抑郁的发生提供依据。

Objectives To explore the incidence and relative factors of Post Stroke Depression （PSD）. Methods 139 patients with acute stroke were evaluated and investigated by Hamilton depression rating scales （HAMD）,neurologic deficit scale and self-designed personality questionnaire. Result The incidence rate of PSD was 35.97%. PSD had positively relation to neurologic deficits and activities of daily living. PSD had not relation to age,occupation, level of education and the location of focus. Conclusions PSD was a common complication of stroke. It was positively related to neurological deficits and activities of daily living, The factors above were useful for PSD prevention.