贵州医科大学学报

2005, (06) 513-515

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脑卒中后抑郁相关因素分析
A Clinical Observation of Related Factors and Treatment of Post-stroke Depression

李玲;杨运旗;韩烨;万照宇;陈敏;陈建忠;
LI Ling,YANG Yun-qi,HAN Ye,WAN Zhao-yu,CHEN Min,CHEN Jian-zhong(Department of Neurology,The 44th Hospital of PLA,Guiyang 550009,China)

摘要(Abstract):

目的:观察脑卒中后抑郁(post-stroke depression,PSD)与病损部位、吸烟、合并疾病、神经功能缺损程度、社会家庭支持度等因素的相关性,以及心理、药物干预治疗疗效。方法:采用Zung抑郁量表(self-ratingdepression scale,SDS)测评164例脑卒中后抑郁,SDS≥50分确定为抑郁。根据影像学确定病损程度,临床体检结果判定神经功能缺损程度,并用一般情况调查表对患者进行调查。结果:脑卒中后抑郁57例(34.8%),抑郁与病损部位、吸烟、合并疾病、神经功能缺损程度、社会家庭支持度等因素呈正相关(P<0.05),心理及三环类药物治疗后大部分患者有效。结论:病损部位、吸烟、合并疾病、神经功能缺损程度、社会家庭支持度是PSD的相关因素,心理及药物干预有效。
Objective: To observe the relationship of post-stroke depression(PSD) with related factors,such as location of lesion,habit of smoking,complicating diseases,neurological deficits and social support,and to evaluate the effects of both physical and psychological treatments.Method:164 stroke patients were evaluated by zung`s self rating depression scale(SDS).If SDS score≥50 points,the patient was thought as suffering from depression.Lesion location were identified by CT or MRI.Neurological deficits were assessed by physical examination,a self-designed questionnaire was used in this investigation for general conditions of the patients.Results:57 cases were identified as PSD(34.8%).The depression had a positive connection to those tested factors(P<0.05).Psychothereapy and medicine showed good effects on PSD.Conclusions:Location of lesion,habit of smoking,complicating diseases,neurological deficits and social support might be related factors of PSD.Both psychothereapy and medical treatment are effctive.

关键词(KeyWords): 脑出血;脑梗塞;抑郁症
cerebral hemorrhage;brain infarction;depression

Abstract:

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作者(Authors): 李玲;杨运旗;韩烨;万照宇;陈敏;陈建忠;
LI Ling,YANG Yun-qi,HAN Ye,WAN Zhao-yu,CHEN Min,CHEN Jian-zhong(Department of Neurology,The 44th Hospital of PLA,Guiyang 550009,China)

DOI: 10.19367/j.cnki.1000-2707.2005.06.011

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