男性脑挫伤患者并发抑郁症的危险因素分析

Analysis of Risk Factors for Depression in Male Patients with Brain Contusion

目的:探讨男性脑挫伤患者并发抑郁症的危险因素。方法:以自2017年1月-2019年12月在笔者所在医院诊治的132例康复期男性脑挫伤患者为研究对象,采用SDS和HAMD-17诊断抑郁症,将患者分为抑郁症组和无抑郁症组。采用单因素和多因素Logistic回归分析男性脑挫伤患者并发抑郁症的危险因素。结果:男性脑挫伤患者并发抑郁症的发生率是34.85%。单因素分析显示,年龄、受教育年限、SSRS评分、NIHSS评分、2型糖尿病史在两组间差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示,SSRS评分低、NIHSS评分高和有糖尿病史与并发抑郁症明显相关(P<0.05)。结论:男性脑挫伤患者并发抑郁症的发生率较高,SSRS评分低、NIHSS评分高和有2型糖尿病史是独立危险因素,临床上可根据相关影响因素提前对男性脑挫伤患者做出干预,预防抑郁症的发生,改善患者的临床疗效和预后,提高生活质量。

Objective:To investigate the risk factors for depression in male patients with brain contusion.Method:A total of 132 male patients with brain contusion at the stage of rehabilitation treated in our hospital from January 2017 to December 2019 were taken as the research objects.Depression was diagnosed using SDS scale and HAMD-17 scale,and patients were divided into depression group and no depression group.Using univariate analysis and multivariate Logistic regression analysis to analyze risk factors for depression in male patients with brain contusion.Result:The incidence of depression in male patients with brain contusion was 34.85%.Univariate analysis showed that the differences in age,years of education,SSRS score,NIHSS score,and history of type 2 diabetes between the two groups were statistically significant (P<0.05).Multivariate Logistic regression analysis showed that lower SSRS score,higher NIHSS score,and history of type 2 diabetes were significantly correlated with depression (P<0.05).Conclusion:The incidence of depression in male patients with brain contusion is high.Lower SSRS score,higher NIHSS score and history of type 2 diabetes were independent risk factors.According to the related factors for male patients with brain contusion,interventions can be made in advance to prevent depression and improve patients’ clinical efficacy,prognosis and life quality.