中青年急性脑梗死后抑郁和焦虑状态的发生及影响因素

The Occurrence and Influence Factors of Depression and Anxiety After Acute Cerebral Infarction in Middle and Young Patients

目的探究中青年急性脑梗死后发生抑郁和焦虑状态的情况,并分析其影响因素。方法以我院收治的78例中青年急性脑梗死性患者为研究对象,并与同期78例健康中青年体检者的情况相对比。结果中青年急性脑梗死组患者抑郁发生率为35.90%,焦虑发生率为42.31%,均高于健康对照组(P<0.05);脑梗死发作次数、病程、梗死部位是主要引发中青年急性脑梗死后抑郁和焦虑因素(P<0.05)。不同性别、职业、年龄对抑郁、焦虑无明显影响。结论中青年急性脑梗死后焦虑状态的发生率较高,脑梗死发作次数、病程、梗死部位是主要影响因素。

Objective To explore the situation of depression and anxiety after acute cerebral infarction in youth and analyze its influence factors.Methods 78 cases of acute cerebral infarction in our hospital were studied,and compared with the situation of the youth physical examination in 78 cases during the same period.Results In young patients with acute cerebral infarction group the incidence rate of depression for 35.90%,the incidence rate of anxiety was 42.31% were significantly higher than those in healthy control group（P〈0.05）,cerebral infarction frequency,duration,location of infarction is mainly caused by the young and middle aged patients with acute cerebral infarction depression and anxiety（P〈0.05）.Gender,occupation,age had no significant effect on depression and anxiety.Conclusion The incidence of anxiety after acute cerebral infarction in middle and young patients is high,the number of cerebral infarction,the course of disease and the location of cerebral infarction are the main factors.