社区中老年脑卒中后抑郁发生的相关危险因素研究

Research of the Risk Factors of Post-stroke Depression for Middle-aged and Elderly Patients in the Community

目的为有效减少中老年脑卒中患者出现抑郁症状,对脑卒中后抑郁发生情况以及影响因素进行分析。方法对某社区2011年9月—2014年11月期间521例经医院临床诊断为脑卒中的中老年患者进行观察,记录其近一年内出现抑郁的情况,并采用Logistic回归方程进行计算,探讨社区脑卒中抑郁情况的影响因素。结果脑卒中患者抑郁发生率为24.0%(P>0.05);家庭月收入、性别、既往脑卒中史、高血脂史、高血压史、心脏病家族史与疾病发生有关(P<0.05)。结论中老年脑卒中患者有较高可能性出现脑卒中后抑郁,且家庭月收入、性别、既往脑卒中史、高血脂史、高血压史、心脏病家族史均是疾病发生的影响因素。

Objectives To efficiently reduce the incidence rate of depression for middle-aged and elderly stroke patients and analyze the influence factors of post-stroke depression.Methods 521 middle-aged and elderly stroke patients treated from September 2011 to November 2014 in our community were selected.In the past one year,the incidence rate of depression was recorded.Through the Logistic regression equation,the influence factors of post-stroke depression were analyzed.Results The incidence rate of depression was 24.2%（P0.05）.The attack of depression was correlated with patient＇s monthly income,gender,history of stroke,history of hyperlipidemia,history of hypertension and family history of heart disease（P0.05）.Conclusions The middle-aged and elderly stroke patients are easy to get post-stroke depression.The influence factors of post-stroke depression include patient＇s monthly income,gender,history of stroke,history of hyperlipidemia,history of hypertension and family history of heart disease.