老年性脑卒中患者伴抑郁状态的调查分析

An investigation on depression in elderly patients with cerebral stroke

目的 调查分析老年期脑卒中患者伴发的抑郁情绪。方法 应用CES D量表评定老年期脑卒中 (急性期 )患者 68例抑郁情绪的程度及与之受损面积及部位、神经功能评分、家庭状况的关系。结果 老年期脑卒中患者CES D2 0项评分在 17～ 3 6分 ,平均分 2 8 13± 7 5 7;抑郁状态以受损的皮质及双侧基底节较多见 ,评分较高 ,评分 >2 5者 ,占 45 6% ;与神经功能评分呈明显正相关 (γ =0 66,P <0 0 1) ;与家庭状况有关 ,以农民身份的评分较高 ,平均分 3 1 5± 8 8。结论 老年期脑卒中患者伴有不同程度的抑郁情绪 ,其严重程度与受损部位、神经功能评分及家庭状况有关 。

Objective: To investigate the factors relative to depression in elderly patients with cerebral stroke(EPCS). Methods: By the use of CES-D, the relationship between the depression degree, location and area of the damage, the marks of nerve-function, and family conditions were evaluated in 68 elderly patients with cerebral stroke. Results: Twenty CES-D evaluated-marks of EPCS ranged between 17～36 x=28.13±7.57. The depression often appeared in those with the damage to cortex and bilateral basic ganglion and having high marks, in which 45.6% had marks >25. Depression marks were significantly positively correlative to those of nerve function γ=0.66, P<0.01) and related to family conditions. Conclusion: EPCS, with which depression accompanied, showed that the depression is related not only to cerebral organic-path but also to psychic state and the environment in which patients are.