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脑卒中后抑郁患者脑器质性损伤部位的临床研究
引用本文:李献军. 脑卒中后抑郁患者脑器质性损伤部位的临床研究[J]. 中国医药导刊, 2008, 10(4): 516-517
作者姓名:李献军
作者单位:石家庄市第一医院神经内科,石家庄050011
摘    要:
目的:研究脑卒中后抑郁患者其抑郁程度与脑器质性病变部位之间的关系。方法:采用Hamilton抑郁量表24项版本和中国脑卒中临床神经功能缺损程度评分量表对267例脑卒中患者进行评定,对发生抑郁症depression的患者再进行脑内器质性病变部位的相关分析。结果:入组患者中有112例发生脑卒中后抑郁(PSD),总发病率为41.95%,所有PSD患者中病变在额叶的有11例,颞叶23例,顶叶17例,枕叶15例,基底节16例,小脑23例,脑干7例,其中轻度抑郁53例,中度抑郁40例,重度抑郁19例,神经功能缺损评分轻型患者其PSD发病率为21.84%,中型发病率为49.26%,重型为59.09%。结论:脑卒中后抑郁患者其颞叶和小脑部位病变多发生轻度抑郁,顶叶和枕叶病变多发生中度抑郁,额叶脑干以及基底节部位病变多发生中重度抑郁,神经功能缺损程度评分越高,其患抑郁症的程度也就越高。

关 键 词:脑卒中并发症  抑郁症  颅脑损伤

Clinical Research on Organic Brain Injury of Post-stroke Depression
Li Xian-jun. Clinical Research on Organic Brain Injury of Post-stroke Depression[J]. Chinese Journal of Medicinal Guide, 2008, 10(4): 516-517
Authors:Li Xian-jun
Affiliation:Li Xian-jun (Neurology Department,Shijiazhuang City NO.1 Hospital,Shijiazhuang 050011,China)
Abstract:
Objective:To study the correlation between the depression degree d post-stroke patients and the region of organic brain lesions.Methods:Hamilton depression scale and Chinese stroke clinical neurological impairment of scale score were used to as- sess 267 patients with stroke.To analyze the correlation between the depression patients and the region of organic brain lesions.Re- sults:In all the patients,there are 112 cases with post-stroke depression (PSD),the incidence rate is 41.95% ;Among all the PSD patie...
Keywords:Stroke complications  Depression  Brain injury  
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