摘要
目的调查综合医院神经内科患者伴发抑郁症状的发病及诊疗情况。方法 2010年4月28日至5月21日期间30家综合医院神经内科的1281名患者连续入选参与调研。采用医院焦虑抑郁量表(Hospital Anxiety and Depression Scale,HAD)进行筛查。结果神经内科患者中,44.0%(564/1281)为卒中患者,其既往使用抗抑郁药的比例为6.7%(38/564);非卒中患者中,既往使用抗抑郁药的比例为17.4%(125/717);入院后,卒中患者伴发抑郁的比例为50.0%(282/564),非卒中患者伴发抑郁的比例为47.7%(342/717);用药的构成比中,舍曲林用药率最高。结论神经内科患者伴发抑郁的比例较高,尤其是卒中患者,但识别率和治疗率都很低,应该引起高度重视。
Objective To investigate the proportion and treatment situation in neurology patients with depression symptoms in general hospital. Methods A total of 1281 patients from neurology department were consecutively enrolled. Hospital Anxiety and Depression （HAD） Scale was used to evaluate the symptoms. Results 44.0% of patients in neurology department were stroke patients, but only 6.7% of them and 17.4% of non-stroke patients were treated with antidepressants. However, 50.0% of stroke patients and 47.7% of non-stroke patients were diagnosed with depression. Sertraline was the most frequently used in treatment.
Conclusion There were high incidence of neurology patients with depression symptoms, especially post-stroke depression （PSD）, but little of them were diagnosed in the past, which should be taken seriously.
出处
《中国卒中杂志》
2010年第10期798-800,共3页
Chinese Journal of Stroke
基金
北京市科技新星计划(2007B051)
关键词
抑郁
数据收集
抗抑郁药
Depression
Data collection
Antidepressive agents
