脊髓损伤患者抑郁情绪及其影响因素的初步分析

Depression after Spinal Coral Injury: An Analysis of the Relative Factors

目的 :探讨脊髓损伤 (SCI)患者抑郁的发生率及其影响因素。方法 :对 30例SCI患者进行抑郁自评量表 (SDS)评定 ,将其得分进行分组分析 ,并了解其与年龄、病程、职业和日常生活活动能力 (ADL)的关系。结果 :SCI患者抑郁发生率为 70 .33% ,SDS评分与年龄、病程不相关 ,与日常生活活动能力呈显著负相关 ,不同职业间的SDS评分差异无显著性 ,四肢瘫与截瘫患者、不完全瘫痪与完全瘫痪患者间的SDS评分差异有显著性。结论 :SCI患者抑郁发生率高 ,而且损伤程度越重 ,抑郁情绪越明显 。

Objective: To investigate the incidence of depression following spinal cord injury (SCI) and the influencing factors. Methods: The depression in 80 patients with SCI was assessed by using self rating depression scale (SDS). The relation between the SDS outcome and age, sick duration, occupation, activity of daily living (ADL) was analyzed. Results: The SDS scores indicated depression in 70.33% of the patients. The SDS scores were not correlated with age or sik duration, but significantly negatively with ADL. There was no significant difference in the SDS scores among the different occupations. There was significant difference in the SDS scores between the patients with quadriplegia and those with paraplegia or between incomplete paralysis and complete paralysis. Conclusion: There is a high incidence of depression in SCI. The worse the injury, the higher the incidence of depression.