89例脑卒中患者焦虑及抑郁调查研究

The investigation of anxiety and depression in 89 stroke patients

目的:了解脑卒患者中焦虑及抑郁的发病情况及特点。方法:对89例脑卒中患者焦虑和抑郁发生情况进行调查,收集患者的相关资料,评估与焦虑和抑郁发生的相关因素。结果:89例脑卒中患者中,51.69%的患者存在抑郁,39.33%的患者存在焦虑,38.22%的患者有焦虑抑郁共病(post-stroke comorbid anxiety and depression,PSCAD)。其中,文化程度、性格特征、神经功能缺损可以影响患者焦虑和抑郁的病情,但没有发现性别、经济能力与焦虑或抑郁有相关性。结论:脑卒中患者中存在较高的情感障碍发生率,值得非精神科医师重视。

Objective： To investigate the situation and characteristic of anxiety and depression in Stroke patients.Methods： The situation of anxiety and depression were investigated in 89 stroke patients,some information of them were collected.According to the general investigation,Hamilton Depression Scale（HAMD） and Hamilton Anxiety Scale（HAMA） were used to the 89 Stroke patients.The scores of HAMD and HAMA were analysed in order to estimate the relative factors of anxiety and depression.Results： Out of the 89 stroke patients 51.69% had depression,39.33% had anxiety and 38.22% had PSCAD.Patients＇ factor of anxiety and depression have been affected by standard of culture,personality characteristics,neurological impairment without sex,economic ability and anxiety or depression.Conclusion： This study finds a high prevalence of affective disorder in stroke patients which to be worth attention by the clinical doctors in order to improve their quality of life.