脑卒中患者障碍侧别对卒中后抑郁程度影响的研究

Investigation on the influence of different lateral dysfunctions on the degree of post-stroke depression in stroke patients

目的探讨脑卒中患者不同障碍侧别对卒中后抑郁程度影响的差异,为康复治疗中进一步加强对患者精神层面的关注提供理论依据。方法选取右利手脑卒中患者90例,分为两组:利手侧障碍组45例,非利手侧障碍组45例。对患者进行上肢功能、手部功能、认知功能、自理能力的常规评估,同时使用抑郁自评量表(Self-Rating Depression Scale,SDS)对卒中后抑郁程度进行评估。根据量表评估结果进行统计学处理,分析利手侧与非利手侧障碍后,患者卒中后抑郁程度是否存在差异,并浅析其可能的原因。结果利手侧障碍的脑卒中患者SDS评分明显高于非利手侧障碍的患者(P=0.000)。结论利手侧障碍比非利手侧障碍患者的卒中后抑郁程度更加严重。

Objective To explore the differences in the influence of different lateral dysfunctions on the degree of post-stroke depression in stroke patients so as to provide a theoretical basis for paying closer attention to the mental conditions of patients in rehabilitation treatment.Methods A total of 90 right-handed patients divided into two groups,45 with handed dysfunctions and 45 with non-handed dysfunctions,were selected.Each subject's upper extremity function,hand function,cognitive function,ADL and the degree of post-stroke depression,using the Self-Rating Depression Scale(SDS),were evaluated.Statistical processing was performed according to the results to analyze whether there was a difference in the degree of post-stroke depression between patients with handed and non-handed lateral dysfunctions and the relevant factors that affected the degree of post-stroke depression in patients.Results The SDS scores of stroke patients with handed lateral dysfunctions are significantly higher than those with non-handed lateral dysfunctions(P=0.000).Conclusion The degree of post-stroke depression in stroke patients with handed lateral dysfunctions is more severe than those with non-handed lateral dysfunctions.