大脑两半球卒中患者情感障碍的对比研究

The Compared Study of Emotional Disturbance in Patientsl With Left and Right Cerebral Hemisphere Stroke

目的:研究大脑两半球卒中患者情感障碍的临床特点,为临床诊治和康复提供进一步依据。方法:对33例右半球脑卒中患者和35例左半球脑卒中患者行焦虑自评量表(SAS)和抑郁自评量表(SDS)测试,并进行对比研究。结果:两半球脑卒中均可引起焦虑和抑郁,二者相比发生率差异无统计学意义(P<0.05);但因脑卒中部位不同所致焦虑与抑郁具有明显差异性(P<0.01),左半球以皮质下病变多见,常见基底节区;右半球以皮质病变多见,常见部位是颞叶及与其它脑叶的联合损伤;情感障碍的临床特点没有明显差别。结论:两半球脑卒中均可引起焦虑和抑郁,左半球以基底节区多见,右半球以颞叶及与其它脑叶的联合损伤多见。

Objective： To study the clinical characteristics of emotional disturbance of patients with left and right cerebral hemisphere stroke, in order to providing further evidence for rehabilitation training ,diagnosis and treating, nethods：SAS and SDS were tested in 33 patients with right cerebral stroke. It was compared with that of 35 left cerebral stroke patients. Results ： Both left and right cerebral stroke can lead to depression and anxiety disturbance. Their incidence rate has not statistical differences （ P 〉 0.05 ）. But their locations of stroke have significant differences （ P 〈 0.01 ）. Subcortex pathology is the frequently-occurring location after left cerebral stroke, the commonly-seen location is basal ganglia. And in right cerebral stroke patients whose commonly-seen location is temporal lobe cortex and combining with other cerebral lobes. Meanwhile the difference of clinical characteristics between left and right cerebral stroke is not apparent. Conclusion： Both left and right cerebral stroke can lead to depression and anxiety disturbance. Basal ganglia is the main occurring location after left cerebral stroke. Temporal lobe cortex and combining with other cerebral lobes are commonly-seen location in right cerebral stroke patients.