中青年脑卒中后抑郁相关因素分析

    Clinical study on related factors of post-stroke depression in young and middle aged adults

    • 摘要: 目的: 探讨中青年脑卒中后抑郁的发生率及相关因素。方法: 应用Hamilton抑郁量表和神经功能缺损程度评分表,对96例诊断为脑卒中的中青年患者进行调查及评分,对梗死灶或出血灶的部位、数量、合并症、性别及文化程度等相关因素进行统计学分析。结果: 中青年脑卒中后抑郁的发生率为36.46%,抑郁的发生与性别、文化程度、职业、病灶的部位、神经功能缺损及日常生活能力等均无明显关系(P>0.05),而与烟酒嗜好、合并高血压均有一定关系(P<0.05~P<0.005)。结论: 中青年脑卒中后抑郁是脑卒中的常见并发症,直接影响疾病的预后,应重视中青年脑卒中后抑郁症的早期预防和诊治。

       

      Abstract: Objective: To explore the incidence of post-stroke depression and its related factors in the young and middle aged people. Methods: Ninety-six patients with cerebral stroke in the young and middle-aged people were investigated by using HAMD and Chinese scale of clinical neurologic deficit. The related factors such as the location and quantity of lesions, complication, sex and culture background were analyzed with the statistical method. Results: Incidence of post-stroke depression in the young and middle-aged people was about 36.46%. It was not related with sex, culture background, profession, the location of lesions, the clinical neurological deficit and the activity of daily living (P>0.05). But it was related with the hobby of tobacco and alcohol, and complicating hypertension (P<0.05-P<0.005). Conclusions: The post-stroke depression is the common complication after stroke in the young and middle-aged people. It directly affects the prognosis of stroke. The early prevention, diagnosis and treatment of post-stroke depression should be emphasized.

       

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