脑卒中后抑郁与神经功能缺损的关系研究

The study of relationship between post-stroke depression and neurological function deficits

目的探讨脑卒中后抑郁与神经功能缺损及日常生活能力受损程度的关系。方法对198例脑卒中患者分别于入院第1周、第4周采用汉密尔顿抑郁量表(HAMD)、神经功能缺损量表(NFA)、日常生活能力量表(ADL)进行评估。结果脑卒中后抑郁的发生率在入院后第1周为31.31%,第4周为37.88%;神经功能缺损越严重的患者,其抑郁程度越重,日常生活能力越差;而抑郁的存在可加重患者的神经功能缺损及日常生活能力的受损。结论脑卒中后抑郁与神经功能缺损程度及日常生活能力受损程度有关,且相互影响。

Objective To explore the relationship between post-stroke depression（PSD） and neurological function deficits,and the relationship between post stroke depression and activities of daily living. Methods A total of 198 patients with stroke were evaluated by Hamilton Depression Rating Scales（HAMD）,Neurological Function Deficits Assessment（NFA） and Activity of Daily Living Scales（ADL） after 1 week and 4 weeks of being in hospital. Results The incidence of post stroke depression was 31.31% at 1 week, and 37.88% at 4 weeks. The worse of neurological function deficits, the more severe of post-stroke depression and activities of daily living happen in patients with stroke. The occurrence of post-stroke depression was related with the degree of neurological function deficits and limited activities of daily living. Conclusion The scale of post-stroke depression is related with the degree of neurological dysfunction and disability of daily living ,and they influence each other.