基底节脑出血后抑郁与残疾程度及日常生活能力的相关分析

Correlation between Depression after Basal Ganglia Cerebral Hemorrhage and Disability Degree and Daily Living Ability

目的:探讨基底节脑出血后抑郁与残疾程度及日常生活能力的相关性。方法:对符合入组标准的基底节脑出血患者60例,采用汉密尔顿抑郁量表17项(Hamilton depression rating scale,HAMD-17)评估抑郁症状的严重程度,治疗后采用改良Rankin量表(Modified Rankin Scale,MRS)评估患者残疾程度,日常生活能力量表--巴氏指数(Barthel index,BI)评估日常生活能力。结果:基底节脑出血后抑郁患者23例,患病率为38.3%(23/60);残疾程度与抑郁症状显著正相关(r=0.575,P=0.003);日常生活能力与抑郁症状显著负相关(r=-0.446,P=0.029)。结论:基底节脑出血后的抑郁发病率高,抑郁症状重的患者,残疾程度更高,日常生活能力更差。

Objective:To explore the correlation between depression after basal ganglia cerebral hemorrhage and disability degree and daily living ability.Methods:a total of 60 patients with cerebral hemorrhage in basal ganglia were selected from the brain hospital of Hunan province,the Hamilton depression rating scale-17(HAMD-17)was used to estimate the severity of depression symptoms.Modified Rankin Scale was used to assess the degree of disability of the patient after treatment,and the Barthel index to assess daily living ability.Results:The prevalence of depression after basal ganglia intracerebral hemorrhage was 38.3%(23/60);The degree of disability was positively correlated with depressive symptoms(r=0.575,P=0.003);The ability of daily living was negatively correlated with depressive symptoms(r=-0.446,P=0.029).Conclusion:The incidence of depression after basal ganglia intracerebral hemorrhage is high,and patients with more severe depressive symptoms have higher degree of disability and worse daily living ability.