老年脑梗死患者恢复期抑郁及相关因素分析

Post-stroke Depression and Asociated Factors Analysis

目的探讨老年人脑梗死恢复期抑郁的发生情况及相关因素。方法采用HAMD将88例初发脑梗死恢复期患者分为抑郁组和非抑郁组,分别行脑卒中SSS和ADL。结果在88例脑梗死恢复期老年患者中抑郁发生率为42.1%,抑郁组SSS评分明显高于非抑郁组(P<0.01),抑郁组ADL评分低于非抑郁组(P<0.01),而病灶数量、部位在2组中无显著性差异。结论抑郁是老年脑梗死患者恢复期常见的并发症,其发生与神经功能缺损严重程度、日常生活能力依赖程度有关。

Objective To study post - stroke depression during the recovery period in the old patients with cerebral infarction and the associated factors. Methods 88 old patients in the duration of recovery of initial cerebral infarction were divided into depression group and non- depression group according to the analysis of Hamilton Depression Rating scale（HAMD）, respectively assessed by Activities of Daily Living（ADL） and the neurolog - ical deficit, called Scandinavian Stroke Scale（SSS）. Results Of the 88 patients involved, 37（42.1%） suffered from the depression. The index of SSS showed a statistically significant variant between depression group and non- depression group（ P〈0.01）. The higher dependence in ADL of depression group had a statistically significant effect, compared with non - depression group（ P〈 0.01 ）. Otherwise no statistically significant difference was found in location and quantities of nidus between two groups. Conclusions Depression is one of the prevalent complications in the duration of recovery on cerebral infarction, related to the severity of neurological deficit and the dependence in activities of daily living.