卒中后抑郁发生率及其影响因素研究

The incidence of post-stroke depression and influencing factors

目的：探讨脑卒中后抑郁发生率及其影响因素。方法对59例脑卒中患者采用抑郁自评量表、汉密顿抑郁量表进行抑郁状况筛查，脑卒中后抑郁及非抑郁患者进行神经功能缺损评定和血管危险因素分析。结果脑卒中后抑郁的发生率为39．0％；脑卒中后抑郁患者高血压、饮酒比例及脑卒中患者临床神经功能缺损程度评分均显著高于非抑郁患者（ P＜0．05或0．01）。结论脑卒中后抑郁发生率较高，其发生是多种因素共同作用的结果。

Objective To explore the incidence of post-stroke depression （PSD） and influencing factors .Methods Depression status was screened with the Self-rating Depression Scale （SDS） and Hamilton Depression Scale （HAMD） in 59 stroke patients ,their neuro-logic impairments were assessed and vascular risk factors analyzed . Results The PSD incidence was 39 .1% ;hypertension and drinking proportion as well as neurologic impairment score were significantly higher in patients with than ones without PSD （P〈 0 .05 or 0 .01） .Conclusion The PSD incidence is higher ,PSD development is the result of joint action of many factors .