截瘫患者伴抑郁症状的研究

Depression in paraplegic patients

目的： 探讨截瘫病人伴有抑郁症状的临床特点。 方法： 对３８ 例截瘫病人进行症状自评量表（ＳＣＬ－９０）、抑郁自评量表（ＳＤＳ）、和汉密尔顿抑郁量表（ＨＡＭＤ） 评定。同时用年龄、性别相匹配的３８例健康人为对照。 结果： 截瘫病人常有抑郁症状， ３ 种量表总分均明显高于对照组 （Ｐ＜０．００１）。 结论： 对截瘫伴抑郁症状病人给予适当的心理及抗抑郁剂治疗， 良好的家庭照顾及社会支持是很必要的。

Objective:To study depressive symptoms in paraplegic patients. Method:38 patients with paraplegia and 38 healthy controls matched in age and sex were assessed with the Symptom Checklist 90 (SCL 90),Self rating Depression Scale (SDS) and Hamilton Depression Scale (HAMD). Results:The depressive symptoms were predominant in the patient group with total scores of the three rating scales significantly higher than controls ( P<0 001 ). Conclusion:It is important to provide paraplegic patients with psychological support supplemented with antidepressant when necessary.Family and social resources should also be solicited.