摘要
目的对脑卒中后并发抑郁症的;临床资料进行分析。方法对128例脑卒中患者,根据汉密尔顿抑郁量表评分,分为伴抑郁脑梗死组(A组)49例,无抑郁对照组(B组)79例,分析脑梗死发生部位与抑郁症、脑卒中抑郁与神经功能缺损程度的关系。结果脑卒中后抑郁的发生率为38.28%(49/128);左侧半球脑卒中与右侧组比较,差异有统计学意义(P〈0.05);A组在左侧半球基底结、额颞叶及其他部位上的脑卒中分布,差异有统计学意义(P〈0.05)。神经功能正常与不同程度的神经功能缺损组其抑郁情绪正常、轻度、中度、重度间存在明显的相关性(P〈0.01)。结论脑卒中后抑郁症与脑卒中的部位有关,神经功能缺损程度与抑郁也有相关性。
Objective Analysis of clinical data of concurrent post stroke depression. Methods 128 patients with post stroke, according to Hamilton Depression Rating Scale (HAMD) score, are divided into 2 groups, one with depression, cerebral infarction( A group ,49 cases), the other with none- depression (B group ,79 cases ) ; analysis of the relationship between the site of cerebral infarction and depression, poststroke depression and the degree of neurological impairment. Results The incidence of post - stroke depression is 38.28% (49/128) ; comparison between the left hemisphere stroke and the right group, the difference is statistically significant ( P 〈 0.05 ) ; the regions of disease of group A pa- tients are located in basal node of the left hemisphere,frontal temporal lobe and other parts of the brain,the difference is statistically significant (P 〈 0.05 ). Clear correlation existed between nerve function normalization and varying degrees of neurological impairment groups,the degree is listed as normal, mild, moderate, severe ( P 〈 0.01 ). Conclusion Post stroke depression and the site of PSD are related, neurological deficits and depression are also relevant.
出处
《中外医学研究》
2010年第5期18-19,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
脑卒中后抑郁症
脑卒中
抑郁症
Post strokedepression PSD
Post - stroke
Depression