78例脑梗死与卒中后抑郁相关因素分析

In 78 Patients with Cerebral Infarction and Analysis of Related Factors of Post Stroke Depression

目的:观察脑梗死患者抑郁情绪的发生率、抑郁的发生与性别、年龄、受教育程度、合并躯体疾病、病灶部位、神经功能缺损及日常生活能力之间的关系,探讨脑梗死后抑郁发生的情况及危险因素。方法:应用问卷调查的方法评估患者的抑郁状态,同时对每位患者行神经功能缺损评分及日常生活能力评分。结果:脑梗死后一月抑郁的发生率为41.03%;抑郁的发生与性别、年龄、受教育程度合并躯体疾病等无明显相关(P>0.05);左侧半球梗死抑郁的发生率较右侧为高(P<0.05)。抑郁与神经功能缺损程度及日常生活能力之间有明显相关。结论:脑梗死后抑郁发生率高;抑郁与梗死部位有关,与神经功能缺损程度及日常生活能力之间关系密切。

Objective： Observation of cerebral infarction incidence of depressive mood, depression and gender, age, educational level, combined with somatic disease, location of lesions, neurological impairment and activity of daily living and the relationship between, on depression after cerebral infarction occurrence and risk factors. Methods ： Application of questionnaire survey method of evaluating patients with depressive state, at the same time for each patient line of neural function defect score and the ability of daily life. Results ：The incidence of depression after cerebral infarction in January 41 . 3% ; the incidence of depression and gender, age, level of education combined with somatic disease, no significant correlation （ P 〉 0.05 ） ; the left hemisphere. Incidence rate of depression than right side die for high （ P 〈 0.05 ）. Depression and nerve function defect and there was significant correlation between daily life ability. Conclusion ： High incidence of depression after cerebral infarction and infarction; depression is related to the position, and the degree of neurological impairment and the close relationship between daily life ability.