卒中急性期患者情绪与记忆状况

目的 探讨急性卒中患者情绪和记忆状况。方法 采用焦虑自评量表、抑郁自评量表、汉密尔顿抑郁量表和临床记忆量表对30例卒中患者（卒中组）和30例健康志愿者（对照组）进行调查研究。结果 卒中组焦虑自评量表分、抑郁自评量表分和汉密顿抑郁量表分均显著高于正常对照组（41.43±10.71 vs 33.40±3.11，P <0.01；45.29±12.76 vs 34.04±5.30，P <0.01；10.80±6.07 vs 2.53±1.43，P <0.01）。卒中组指向记忆、联想学习、无意义词再认、图像自由回忆、人像特点回忆均明显低于国内常模（15.03±6.17 vs 17.33±5.48，P <0.01；16.42±5.17 vs 18.35±4.96，P <0.01；15.13±6.26 vs17.42±5.31，P <0.01；15.83±5.58 vs 18.63±5.60，P <0.01；14.57±3.14 vs 16.41±5.35，P <0.01），指向记忆、联想学习、图像自由回忆和记忆商低于正常对照组（15.03±6.17 vs 18.33±4.54，P <0.05；16.42±5.17 vs 19.30±4.20，P <0.05；15.83±5.58 vs 19.45±6.41，P <0.05；90.43±17.70 vs101.97±11.44，P <0.01）。结论 卒中对患者的情绪有明显影响，部分患者出现焦虑和抑郁情绪；卒中对患者的记忆力有明显影响，患者记忆力显著下降。

Study of Emotion and Memory in Acute Stroke Patients

Objective To investigate the negative emotion and memory of stroke patients in the acute stage. Methods Thirty patients with stroke and 30 normal people participated the study. Self-Rating Anxiety Scale （SAS）, Self-Rating Depression Scale （SDS） and Hamilton Depression Rating Scale for Depression （HAMD） were used to investigate the negative emotion and the Clinical Memory Scale （CMS） was used to test their memory. Results The scores of SAS, SDS and HAMD of patients were significantly higher than that of the normal group （41.43±10.71 vs 33.40±3.11, P〈0.01; 45.29±12.76 vs 34.04±5.30, P〈0.01; 10.80±6.07 vs 2.53±1.43, P〈0.01）, indicating patients had the symptoms of negative emotion. The directed memory, association learning, recognition of meaningless figure, free recall of picture and recall of the connection between portraits and the characteristics of the patients were significantly lower than norm （15.03±6.17 vs 17.33±5.48, P〈0.01; 16.42±5.17 vs 18.35±4.96, P〈0.01; 15.13±6.26 vs 17.42±-5.31, P〈0.01; 15.83±5.58 vs 18.63±5.60, P〈0.01; 14.57±3.14 vs 16.41±5.35, P〈0.01）. The patients had lower scores of directed memory, association learning, recognition of meaning less figure and memory quotient than the normal group （15.03±6.17 vs 18.33±4.54, P〈0.05; 16.42±5.17 vs 19.30±4.20, P〈0.05; 15.83±5.58 vs 19.45±6.41, P〈0.05; 90.43±17.70 vs 101.97±11.44, P〈0.01）. Conclusion The stroke patients in acute stage had anxiety and depression emotion, the patients had obviously disorders of memory.