小卒中患者抑郁的影响因素分析

Influencing factors of depression in patients with minorischaemic stroke

目的了解小卒中患者的抑郁状况,探索小卒中患者抑郁的影响因素。方法从山西医科大学附属心血管病医院选取研究对象,通过美国国立卫生研究院卒中量表(NIHSS)评分(0~3)作为标准来筛选小卒中患者,对筛选出的研究对象进行一般资料的收集,通过汉密尔顿抑郁量表(HAMD)对小卒中患者进行抑郁状况评估,了解患者的抑郁状况,探索小卒中患者抑郁的影响因素。结果①年龄[OR 95%CI:4.591(1.791,10.984),P=0.001]、饮酒[OR 95%CI:2.219(1.037,4.146),P=0.032]和小卒中评分[OR 95%CI:3.517(1.817,8.431),P=0.001]是患者抑郁的危险因素;②睡眠质量[OR 95%CI:0.754(0.414,0.872)],P=0.013)是患者抑郁的保护因素。结论小卒中患者中存在不同程度的抑郁状况。年龄、饮酒和小卒中评分是患者抑郁的危险因素。睡眠质量越好,抑郁状况相对较轻。

Objective To determine the depression status of minor ischaemic stroke(MIS)patients,and to explore the influencing factors of depression in MIS patients.Methods The patients admitted to Cardiovascular Hospital Affiliated to Shanxi Medical Universitywere included as the subjects in the study.NIHSS scores(0~3)were used as the criteria to screen patients with MIS,and the general data were collected.The Hamilton Depression Scale(HAMD)was used to evaluate and determine the depression status of MIS patients.Through statistical analysis of the collected data,the influencing factors of depression in MIS patients were determined.Results Age[OR 95%CI:4.591(1.791,10.984),P=0.001],alcohol consumption[OR 95%CI:2.219(1.037,4.146),P=0.032]and NIHSS scores[OR 95%CI:3.517(1.817,8.431),P=0.001]were risk factorsof depression in MIS patients.Sleep quality[OR 95%CI:0.754(0.414,0.872),P=0.013]was a protective factor of depression in patients.Conclusion There are different degrees of depression in MIS patients.Age,alcohol consumption and NIHSS scores are risk factors of depression in MIS patients.The depression symptoms may be mild along with the improving quality of sleep.