首发和再发脑梗死对患者情感障碍的影响分析

Analysis of the Impact of Initial and Recurrent Cerebral Infarction on Patients' Emotional Disorder

目的探讨首发和再发脑梗死对患者情感障碍的影响。方法收集神经内科住院脑梗死患者396例,其中首发脑梗死176例,再发脑梗死患者220例。运用汉密顿(Hamilton,HAMA)焦虑量表和17项版本汉密顿(Hamilton,HAMD)抑郁量表评价两组患者的情感障碍情况。结果首发脑梗死患者情感障碍的发生率为59.1%,再发脑梗死患者的情感障碍发生率高达82.3%,两组患者情感障碍比较差异有统计学意义(χ2=24.910,P<0.001)。结论脑梗死后患者情感障碍发生率很高,再发脑梗死患者情感障碍更严重。因此,预防脑梗死的再发对降低情感障碍发生率有重要的意义,对再发脑梗死患者应加强预防情感障碍的护理。

Objective To explore the impact of the initial and recurrent cerebral infarction on patients＇ emotional disorder. Methods 396 cases with cerebral infarction （ 176 initial cases and 220 recurrent cases） hospitalized in the department. Then by means of HAMA and HAMD, their emotional disorders were rated. Results The incidence rate of emotional disorder among the initial infarction group was 59.1%, while that of the other group was 82.3%, with the differences being statistically significant （X2=24.910, P〈0.001）. Conclusion The incidence of cerebral infarction results in a high rate of emotional disorder, with that among the patients of recurrent infarction even more severe. Therefore, preventing the recurrence of cerebral infarction is of vital importance in lowering the incidence rate of emotional disorder.