初发脑卒中患者并发抑郁症相关因素分析

Analysis on correlative elements of post stroke depression

目的:探讨脑卒中后抑郁发病的相关因素。方法:220例初发脑卒中住院患者,以汉密尔顿抑郁量表评分评定其抑郁程度,以神经功能缺损程度评分标准评定神经功能缺损程度,分析二者相关性,同时分析卒中部位及病程与抑郁症发病的关系。结论:脑卒中后神经功能缺损与抑郁症的轻重程度成正相关,脑卒中后抑郁的发生与卒中部位位置无关,左利手患者右半球卒中后抑郁症的发病率高于左半球患者。

Objective To understand correlative elements of post stroke depression （PSI））. Methods Record scores of the Hamilton Rating Scale for Depression （HRSD） for each PSI） patient. Assess the degree of neurological deficit by the modified Scandinavian Stroke Scale （MSSS）. Then analyze the correlativity of the patient＇s HRSD with MSSS, and the relation of PSI） with the location and course of lesion. Conclusion The depression degrees in PSI） are positively correlated with the degree of neurological deficit post stroke; PSI） is not related with the lesion location; the left-handers who hurt in the right hemisphere of the brain has a higher morbidity than that in the left hemisphere.