脑梗死患者卒中后抑郁的发生率及危险因素分析

The Incidence and Risk Factors of Post Stroke Depression in Patients with Cerebral Infarction

目的研究脑梗死患者卒中后抑郁状态发生率及相应诱发危险因素。方法按相应研究标准选取脑梗死患者110例作为研究对象,以汉密尔顿抑郁量表(HAMD)评分为判定依据,评估脑梗死患者卒中后抑郁状态。根据评估结果将其分成抑郁组与非抑郁组,并对两组患者一般资料、既往病史、病情状况等进行统计学分析,研究卒中后抑郁的危险因素。结果 110例患者,卒中后共46例抑郁状态,发生率为41.8%。其中轻度抑郁8例,中度抑郁18例,重度抑郁20例。统计结果显示,性格偏内向、近期存负性事件、家庭状况差、合并有高血压、糖尿病、卒中次数与病灶个数较多的患者容易发生抑郁。结论卒中后抑郁发病率较高,应该加强对一般资料、既往病史、病情状况中诱发因素的重视,做到早识别、早治疗,以提高预后与治疗效果,最大化减轻患者痛苦。

Objective To study the incidence of post-stroke depression in patients with cerebral infarction and the corresponding risk factors.Methods 110 patients with cerebral infarction were selected as the research object according to the corresponding research criteria,and the Hamilton Depression Rating Scale（HAMD） score was used as the basis to evaluate the post-stroke depression status in patients with cerebral infarction.According to the assessment results,it was divided into depression group and non-depression group.The general data,past medical history,condition and so on of the two groups were statistically analyzed to study the risk factors of post-stroke depression.Results In the 110 cases,there were 46 cases of depression after stroke,the incidence was 41.8%.Among them,mild depression was found in 8 cases（7.3%）,moderate depression in 18 cases（16.4%） and severe depression in 20 cases（18.2%）.Statistics show that depression tends to occur in patients with biased introverts,recent negative events,poor family status,and high blood pressure,diabetes mellitus,and higher numbers of strokes and lesions.Conclusion The incidence of post-stroke depression is high,so we should pay more attention to the general information,previous medical history,and the predisposing factors in the condition so as to identify and treat early as soon as possible so as to improve the prognosis and treatment effect and minimize the suffering of patients.