脑卒中后抑郁状态的相关因素

Related factors of depressive state after stroke

目的:从生物-心理-社会医学模式的角度研究脑卒中后抑郁状态发生的相关因素。方法:随机选取脑卒中急性期住院患者90例,对其进行简易智力状态问卷,生活事件量表、焦虑状态/特性询问表、汉密尔顿抑郁量表-24项,艾森克人格问卷评定,同时采用Astrom方法进行病灶定位。结果:脑卒中后抑郁状态发生率为56%(50/90),且抑郁的发生与病变部位、性格、社会因素、年龄及偏瘫方面与非抑郁患者比较,差异有显著性意义(P<0.05)。结论:年龄≤50岁、≤60岁,性格内向不稳定者,病灶越近额极,近半年经历的生活事件越多及病后伴有偏瘫者发病率高。

AIM:To study the related factors of depressive state following stroke from th e angle of biology-psychology-social medicine. METHODS:Ninety inpatients with acute stroke were randomly selected to perform the examinations of mini-mintal state examination(MMSE),life event scale(LES) ,state-trait anxiety inventory(STAI),Hamilton depression rating scale-24(HAM D-24)and Eysenck personality inventory(EPI).Simultaneously,Astrom method was u sed to locate focal lesion. RESULTS:The incidence of depressive state after stroke was 56% (50/90),and a significant difference existed in the episode,lesion site,character,social fact or,age and hemiplegia between stroke patients with depressive state and those wi thout depressive state. CONCLUSION:The incidence of depressive state post stroke is high in the patie nts aged≤ 50 years or ≥ 60 years,those with introverted and transient charac ter,those with the lesion located near frontal ople,those with hemiplegis patien ts,or those having experienced more accidents.