脑卒中病变部位与抑郁症的关系

The Relationship between Lesion Location of Cerebral Stroke and Depression

目的 :探讨脑卒中病变部位与抑郁症的关系。方法 :对 2 76例脑卒中患者按病变部位分 :左半球与右半球 ,前半部 (额、颞叶 )与后半部 (顶枕叶 ) ,基底节区与皮层 3组 ,进行抑郁症发病率的比较 ,数据采用X2 检验。结果 :卒中后抑郁症 (PSD)发病率为 2 8.3% ,左半球组发病率为 33.0 % ,大于右半球组的 19.8% ,前半球组发病率为38.6 % ,大于后半球组的 2 0 .0 % ,均有统计学意义 ,而皮层与基底节区二者发病率无显著差异。结论 :脑卒中病变部位可能为PSD的一种病因 。

Objectives:To explore the relationship between lesion location of cerebral stroke and depression.Methods:According to lesion location,276 cases of cerebral stroke pationts were divided into 3 groups:left hemisphere and right hemisphere,front hemisphere (frontal,temportal lobe)and back hemisphere (parietal,occipital lobe),internal capsule and cortex Toanalyse depression incidences of 3 group and data were tested with x 2.Results:The incidence of poststoke depression (PSD) was 28.3%,the incidence of left hemi sphere group was 33.0% which shaved evident statistics changes Compared with 19.8% of right homisphere,38.6% of frant hemisphere showed evident statistics changes compared with 20.0% of back hemisphere,but the incidence of cortex failed to show statistics changes compared with internal capsule.Conclusion:Lesion Location of cerebral stroke might be one of causes of PSD,and PSD might be caused by multiple factors.\;