脑卒中恢复期抑郁症状及影响因素的研究

A study on depression symptoms and relative factors after stroke

应用美国流行病学调查中心的抑郁量表（ＣＥＳ－Ｄ）对５５例恢复期脑卒中患者进行调查，同时研究了其与病程、肢体的能力、生活自理程度的关系。结果显示：①脑卒中恢复期４９．０９％的患者出现抑郁症状，病变在左半球和右半球者其抑郁症状的发生比例无显著性差异。②抑郁症状发生的高峰期在病程达３～６个月之间。③抑郁症状与患者肢体能力水平呈显著负相关，尤与下肢能力的相关性更高。④患者生活自理水平越高，抑郁症状越轻。

Using the Depression Scale(CES-D)developed by Center of Epidemiological Survey of USA, we investigated the recovery in 55 stroke patients,the relations between CES-D and the duration of disease,time of rehabilitation training,extremity ability,and ADL. The results were as follows:(1)Incidence of the depression symptom was 49.09%in patients after stroke during recovery.There is no marked difference in the incidence of symptom between left hemisphere CVA group and right hemisphere CVA group.(2)High incidence of depression symptom occurred 3～6months after stroke. The rehabilitation training can reduce depression effectively.(3)There was a marked negative correlation between depression symptoms and extremity ability,especially.Author′s address:(Department of Rehabilitation Medicine,China-Japan Friendship Hospital,Beijing,100029)