缺血性卒中后头痛与负性情绪相关性研究

The association of headache with negative emotion after isehemic stroke

目的探讨缺血性卒中后头痛患者的负性情绪及相关因素，以指导心理干预，提高患者生活质量。方法将缺血性脑卒中发生当时或之后72h内山现头痛者设为观察组，共113例，缺血性脑卒中发生后无头痛的患者设为对照组，共263例。选用Zung焦虑自评苣表（SAS）和抑郁自评量表（SDS）、艾森克人格问卷（EPQ），对两组患者进行调查。结果缺血性脑卒中患者SAS和SDS评分与同内常模比较，差异有极显著性（P〈0．01）。而观察组与对照组SAS评分比较，差异亦有极显著性（P〈0．01），而SDS评分比较，差异无显著性（P〉0．05）艾森克人格问卷（EPQ）观察组评分与对照组及国内常模比较E量表、N量表评分、女性患者P量表评分差异有极显著性（P〈0．01）。而对照组与国内常模男女比较E量表、N量表计分、P量表及L量表评分差异无显著性（P〉0．05）。结论缺血阵卒中后头痛患者多伴有焦虑和抑郁情绪，且焦虑症状明显，可能为头痛的原因之一，行与患者的人格特征有一定的相关性。

Objective To investigate negative emotion in patients with headache seondary to ischemic stroke and the related faetnrs, and to provide psychological intervention improve quality of life. Methods 113 patients wilh headache occurring during the attack of ischemic, stroke or within 72h after stroke were assigned 1o the study group; 263 without headache were selected to the control group. Zung self-rating anxiety scale selection （SAS）, self-rating depression scale （SDS）, and Eysenck Personality Questionnaire （EPQ） were used to survey all the subjects. Results The scores on SAS and SDS differed significantly between the patients and the national norm （P〈0,01）. There were significant differences in SAS scores between the study group and the control group （P〈0.01）, hut no differences in SDS scores （P〉0.05）. Scores on EPQ differed significantly between the study group anti and the control group and from the scores on the national norm E Scale and N Scale, and P scale for female patients （P〈0.01）. The scores on the E, N, P, and L scales did not differ significantly between the control group and the national norm for male and female （P〉0.05）. Conclusions Obvious anxiety and depression mostly develop in patients with ischemic stroke, which may be one of the causes of headache; and headache is relevant at some degree to patient personality characteristics.