缺血性脑卒中后抑郁症发生率及相关影响因素

The Occurrence of Depression after Ischemic Stroke and Its Related Influencing Factors

目的：探讨缺血性脑卒中后抑郁症发生率及相关影响因素。方法：195例缺血性脑卒中住院患者应用美国国立医院脑卒中量表（NIHSS）、Barthel指数与汉密尔顿抑郁量表（HAMD），分析缺血性脑卒中后抑郁症发生率及相关影响因素。结果：195例患者抑郁22例，占11.28%；缺血性脑卒中患者并发抑郁与患者收入状况、家庭婚姻状况、年龄、文化程度、基础疾病、性格类型、合并其他疾病病种数等相关（P〈0.05）；PSDD患者BI评分明显高于非PSDD患者（P〈0.05）。结论：缺血性脑卒中后抑郁症发病率较高，且与多种因素相关。

Objective：To investigate the occurrence of depression after ischemic stroke and its related influencing factors. Methods：NIHSS, Barthel index and HAMD were used in 195 cases of hospitalized patients with ischemic stroke to analyze their depression occurrence and related influencing factors. Results：22 cases out of 195 patients were suffered from PSDD, accounts for 11.28%;the incidence of PSDD in patients with ischemic stroke was related to the factors such as income status, family and marital status, age, education level, basic diseases, character types and complications （P〈0.05）;the BI score of PSDD patients was significantly higher than that of non-PSDD patients （P〈0.05）. Conclusion：The occurrence of depression af-ter ischemic stroke is high and related to various factors.