目的　研究脑卒中急性期的抑郁症状及其影响因素。方法　对 2 0 6例脑卒中患者在发病 1月内使用Zung抑郁自评量表及自制问卷、神经功能损害量表 (DNF)、伴发疾病量表、简易智能速查表 (MMSE)、生活事件量表 (LES)、日常生活能力量表 (ADL)、社会支持量表进行评定。结果　 2 0 6例患者中有 10 2例出现抑郁症状 ,其发生率为 49 5 %。单因素及多因素分析筛选出影响脑卒中后急性期抑郁症状的因素与下列 15项有关 :神经功能损伤程度、社会支持 (总分、主观分、客观分 )、生活事件总分、患者对治疗的依从性、家庭负担、病变部位、病前是否吸烟、生活能力总分、智能状况、本人对愈后的评价、家庭关系、职业、居住地。结论　脑卒中急性期抑郁症是急性脑卒中常见并发症、受多种因素影响 ,应重视对其预防和治疗 Objective To study the depressive symptoms and its influencing factors in the acute stage of stroke. Methods Twenty-six stroke patients were assessed with Zung Depression Scale and Self-made Questionnaire, Neurological Functional Depression Scale (DNF), Concomitant Disease Scale, MMSE, Event Scale (LES), Daily Life Power Scale (ADL), Social Support Scale. Results Of the 206 patients, 102 cases showed depressive symptoms, the incidence was 49.5%. Univariate and multivariate analysis screened the factors influencing acute symptoms of stroke after stroke were related to the following 15 items: degree of neurological injury, social support (total score, subjective score, objective score), life events score, patient treatment Compliance, family burden, location of disease, whether smoking before illness, total score of living ability, intelligence status, personal evaluation of my future, family relationship, occupation, residence. Conclusions Depression in the acute stage of stroke is a common complication of acute stroke, which is influenced by many factors and its prevention and treatment should be emphasized