脑卒中后抑郁症的发生及相关因素分析

Study on the incidence and the related factors of post strok depression

目的研究脑卒中后抑郁症(PSD)的发生率和影响因素。方法对112例脑卒中患者采用统一的调查表,通过随机直接询问的方法进行调查。调查中采用的量表有抑郁自评量表(SDS)和汗密尔顿抑郁量表(HAMD)及神经功能缺损程度量表。对其结果进行统计学分析。结果脑卒中后抑郁症的发生率为34.82%。与性别、年龄、婚姻、职业、文化程度、经济状况、社会交往、吸烟、饮酒、病变性质、病程无关;与神经功能缺损程度、病变部位有关。结论脑卒中后抑郁症发生率高,直接影响脑卒中的预后,应重视脑卒中后抑郁症的早期预防和诊治。

Objective To explore post-stroke depression's incidence and its related factors. Methods 112 patients with cerebral stroke were investigated by using SDS and HAMD and chinese scale of clinical neurologic deficit.The related facts were analyzed with statistical method. Results Incidence of post-stroke depression was about 34.84%.It didn't relate with sex,age,marriage,profession,culture background, income,social activities, smoking, drink, properties of pathological changes,course of disease. It related with the clinical neurologic deficit and the location of lesions. Conclusion Post-stroke depression's incidence is high. It directly affects the prognosis of stroke. The prevention, diagnosis and treatment of post-stroke depression should be early valued.