139例脑梗死患者抑郁状况的临床观察

The Clinical Observation of Depression Status in 139 Patients with Cerebral Infarction

目的调查并分析住院患者脑梗死后抑郁情绪的发病情况及其相关因素。方法采用汉密尔顿抑郁量表(HAMD)、中国卒中量表(CSS),并自制相关情况调查表对脑梗死患者进行分组观察,统计分析抑郁发生与年龄、性别、神经功能损伤程度、临床类型(OCSP)以及其他因素的相关性,并进行为期1年的随防调查。结果139例脑梗死患者存在不同程度的抑郁情绪者49例,脑卒中后抑郁状态发病率为35.25%,发生与年龄、性别的关系不大,而与长期疾病困扰、既往多次梗死、多发性病灶梗死、学历等多种因素相关;神经功能损伤程度、临床类型与PSD发生呈显著正相关。结论脑梗死后抑郁发生率较高且受多种因素影响。

Objective We investigated and studied the incidence of depression in the wake of cerebral infarction in inpatients. Methods Hamilton＇s depression scale （HAMD）, Chinese stroke scale （CSS） and self- made related questionnaire were used to observe cerebral infarction subgroup patients and analyze the correlation of depression to age, sex, neurological impairment and clinical type with one year follow- up. Results Among the 139 patients with cerebral infarction, 49 patients were depressed, the rate of PSD were 35.25%. PSD was related to muhifactors including long term disease state, repeated infraction history and multi - focal infarction, educational level, not related to age and sex. Neurological impairment and clinical type were positively related to PSD. Conclusions The incidence of cerebral infarction with depression is high. It may be caused by lots of factors,