PSCAD临床特征分析及基于微信公众号的早期识别

Analysis of PSCAD Clinical Features and Early Recognition Based onWeChat Official Account

目的研究PSCAD的临床特征,探索建立基于微信公众号的PSCAD的早期识别及干预平台。方法入组的研究对象于发病第二周进行焦虑、抑郁以及神经功能缺损程度评估,将诊断为PSCAD的患者设为研究组;其余患者设为对照组。基于微信公众平台,开发对发卒中患者自动进行焦虑、抑郁自评与他评,并进行在线问诊和教育的平台。结果PSCAD发病率为28.63%,PSCAD的症状特点是患者焦虑、抑郁症状都较突出:焦虑症状为患者焦虑心情、自主神经功能障碍症状、运动性不安等;抑郁症状为患者有低落心境、有能力减退、睡眠障碍、生活空虚感等抑郁症常见的症状;建立微信公众号,患者通过健康自评、线上问诊,实现PSCAD的早发现、早干预和早康复。结论PSCAD是较常见的脑卒中后情绪障碍,临床上应常规进行评估。微信庞大的用户群以健康意识较强年轻人群体为主,且老年用户也在逐年增加,所以开发基于微信公众号的卒中后焦虑抑郁识别及干预平台,可以方便医护人员及患者家属发现患者情绪情感异常进行及时干预。

Objective To study the clinical characteristics of PSCAD,and to explore the early identification and intervention platform for PSCAD in the official account of WeChat.Methods The inpatients with acute stroke were collected,and the degree of anxiety,depression and neurological deficit were assessed in the second week.The patients who were diagnosed as PSCAD were set as the study group,and the others as the control group.Based on WeChat public platform,a platform was developed for automatic anxiety,depression self-evaluation and other evaluation of stroke patients,and online consultation and education.Results The inci-dence of post-stroke comorbidity of anxiety and depression was 28.63%.The symptoms of post-stroke comorbidity of anxiety and depression were more prominent:anxiety,autonomic nervous dysfunction,motor restlessness,etc;depression,common symptoms of depression,such as depression of mood,ability to decline,sleep disorder,life emptiness,etc;To establish the official account of WeChat,patients can achieve early detection,early intervention and early rehabilitation after comorbid anxiety and depression through health self-evaluation and online inquiry.Conclusion PSCAD is a common post-stroke emotional disorder,which should be evaluated routinely.WeChat's huge user base is mainly a healthy young people group,and the elderly users are also increasing year by year.So the development of the official account recognition and intervention platform for post stroke anxiety and depression based on WeChat official account can help the medical staff and their families find out the patients'emotional disorders and inter-vene in time.