脑卒中后抑郁及其相关因素

Related factors in post-stroke depression

目的 调查脑卒中后抑郁的发生率及相关因素。方法 对 12 8例脑卒中患者应用自制一般情况调查表 ,汉密顿抑郁量表进行调查评分 ,应用CT扫描显示病灶部位 ,并根据神经功能缺损评分标准及日常生活能力量表判定神经功能缺损程度及日常生活能力。结果 脑卒中后抑郁的发生率为 41%。女性 ,文化程度低 ,左侧大脑半球病灶 ,存在神经功能缺损以及日常生活能力受限者发生率更高。结论 脑卒中后有较高的抑郁发生率 ,性别 ,文化程度 ,病灶部位 。

Objective To investigate the incidence and related factors of post-stroke depression.Methods 128 patients with stroke were assessed by self-designed register form and Hamilton Depression Rating Scale.Location of focal lesions were shown by CT scans.Activity of daily living and degree of neurological deficits were evaluated by Activity of Daily Living Scale and Neurological Function Deficits Assessment.Results 41% of the patients were shown to have depression.The incidence was higher in female,low educated patients.It’s also higher in patients with left hemisphere lesions,with neurological deficits,and limited activities of daily living.Conclusion Post-stroke depression have high incidence.Post-stroke depression have significant relation to sex,level of education,location of focal lesions,neurological deficits and activities of daily living.