论文部分内容阅读
摘 要 目的:探讨中青年卒中后抑郁的发生率及相关因素。方法:对58例诊断为脑卒中的中青年患者进行调查及评分,并将数据录入表格进行统计分析。结果:中青年卒中后抑郁的发生率为37.93%,抑郁的发生与性别、文化程度、职业、病灶的部位等无明显关系,而与神经功能缺损、烟酒嗜好、合并高血压等有一定关系。结论:中青年卒中后抑郁是脑卒中的常见并发症,直接影响疾病的预后,所以应重视中青年卒中后抑郁的早期预防和诊治。
关键词 脑卒中 卒中后抑郁 神经功能缺损
doi:10.3969/j.issn.1007-614x.2010.24.024
AbstractObjective:To explore the incidence of poststroked depression and its related factors in the young and middle-aged people.Methods:58patients with cerebral stroke in the young and middle-aged people were investigated by using HAMD and SSS.The data was analyzed with statistical method.Results:Incidence of poststroked depression young and middle aged adults was 37.93%.It was not related with sex,culture background,profession,location lesions.But it was related with clinical neurological deficit,the hobby of tobacco and alcohol and complicating hypertension.Conclusion:poststroke depression is common complication after stroke in young and middle aged people.It directly affects prognosis of stroke.The early prevention diagnosis and treatment of poststroke depression should be emphasized.
Key wordsstroke;poststroke depression;clinical neurological deficit
卒中后抑郁(PSD)是脑卒中较常见的并发症,患者除神经功能缺损症状外,常伴有情绪低落、兴趣缺乏、悲观失望、失眠等症状。PSD不仅有不良的情绪体验和躯体功能障碍,还将严重影响患者生活质量及患者神经及肢体功能的康复[1]。
笔者究通过对58例中青年脑卒中患者的调查,对中青年脑卒中后抑郁的发生率和相关因素进行了分析,现报告如下。
对象与方法
2006年9月～2008年12月中青年脑卒中患者58例,发病时间14天～3个月,且均为右利手。入组标准:年龄26～45岁,病程2周～3个月。大脑半球病变(梗死或出血)、意识清楚、无明显语言障碍(包括部分运动性失语,但无感觉性失语)、头颅CT有阳性发现者。排除标准:脑卒中后病情严重或伴有意识障碍不能配合检查者、伴明顯失语且失用而不能配合检查者、严重认知功能障碍不能配合检查者、有精神障碍个人或家族史阳性者、合并除抑郁焦虑之外的其他严重精神疾病者、合并严重心肺功能衰竭、肺癌或其他严重躯体疾病不能配合检查者。
关键词 脑卒中 卒中后抑郁 神经功能缺损
doi:10.3969/j.issn.1007-614x.2010.24.024
AbstractObjective:To explore the incidence of poststroked depression and its related factors in the young and middle-aged people.Methods:58patients with cerebral stroke in the young and middle-aged people were investigated by using HAMD and SSS.The data was analyzed with statistical method.Results:Incidence of poststroked depression young and middle aged adults was 37.93%.It was not related with sex,culture background,profession,location lesions.But it was related with clinical neurological deficit,the hobby of tobacco and alcohol and complicating hypertension.Conclusion:poststroke depression is common complication after stroke in young and middle aged people.It directly affects prognosis of stroke.The early prevention diagnosis and treatment of poststroke depression should be emphasized.
Key wordsstroke;poststroke depression;clinical neurological deficit
卒中后抑郁(PSD)是脑卒中较常见的并发症,患者除神经功能缺损症状外,常伴有情绪低落、兴趣缺乏、悲观失望、失眠等症状。PSD不仅有不良的情绪体验和躯体功能障碍,还将严重影响患者生活质量及患者神经及肢体功能的康复[1]。
笔者究通过对58例中青年脑卒中患者的调查,对中青年脑卒中后抑郁的发生率和相关因素进行了分析,现报告如下。
对象与方法
2006年9月～2008年12月中青年脑卒中患者58例,发病时间14天～3个月,且均为右利手。入组标准:年龄26～45岁,病程2周～3个月。大脑半球病变(梗死或出血)、意识清楚、无明显语言障碍(包括部分运动性失语,但无感觉性失语)、头颅CT有阳性发现者。排除标准:脑卒中后病情严重或伴有意识障碍不能配合检查者、伴明顯失语且失用而不能配合检查者、严重认知功能障碍不能配合检查者、有精神障碍个人或家族史阳性者、合并除抑郁焦虑之外的其他严重精神疾病者、合并严重心肺功能衰竭、肺癌或其他严重躯体疾病不能配合检查者。