脑卒中后抑郁状态的临床观察

The Clinical Observation of Depression after Stroke

目的:观察脑卒中后抑郁的发生率及相关因素。方法:对169例诊断为急性脑卒中的患者,在入院后2、4周分别进行汉密尔顿抑郁量表(HAMD)、欧洲脑卒中量表(ESS)评分和日常生活能力评定(BI指数评定)。结果:脑卒中后抑郁67例,发生率为39.6%。其中轻度抑郁41例,占59.4%,中度抑郁23例,占33.3%;重度抑郁5例,占7.2%;病灶部位与卒中后抑郁有直接关系:提示基底带区病变患者易发生PSD,PSD发生与左右侧大脑半球病变无关;其BI指数评分显著高于无抑郁状态的患者,而且抑郁程度与神经功能缺损呈正相关。结论:卒中后抑郁是脑卒中常见的并发症,脑卒中后抑郁的发生与生物学、心理和社会因素有关。应高度重视脑卒中后抑郁的发生。

Objective： Observe the incidence and related factors of depression after stroke. Method： Sepa- rately do the evaluation of Hamilton＇s Depression Scale（HAMD） and Europe Stroke Scale（ESS）, Activity of Daily Living Evaluation （BI Evaluation） in the 2nd and 4th week after hospitalized, for the patients of 167 cases Acute Stroke. Results： The incidence of depression after stroke is 39.6 %, there is direct relation between the position of focus and depression after stroke： Positive correlation is shown between depression degree and nervous function defect. Conclusions： Depression after stroke is a common complication of stroke, the occurrence of depression after stroke is related to Biology, Psychology and Social factors. We must pay much attention to the occurrence of depression after stroke.