脑卒中后抑郁的相关因素分析

目的探讨脑卒中后抑郁(PSD)的发生率及相关因素。方法对356例初发急性脑卒中患者的抑郁程度、神经功能缺损程度及日常生活能力(ADL)进行评定,对性别、病灶部位及性质、文化程度及神经功能缺损程度等因素进行统计分析。结果脑卒中后抑郁(PSD)发生率为36.2%,绝大多数为轻度和中度抑郁;抑郁的发生与额颞叶和基底节区病灶、文化程度、家庭经济状况、神经功能缺损程度及日常生活能力(ADL)等因素呈显著性相关。结论 PSD是脑卒中患者的常见并发症,并与多种因素密切相关。

Analysis of Related Factor for Post-stoke Depression

Objective To explore the incidence and related factors for post-stroke depression （PSD）.Methods An evaluation was made of depression degree,nerve function damage degree and activities of daily living（ADL） in 356 cases of initial stroke.Statistical analysis was based on sexuality, location of injury, nature of injury, literacy and nerve function damage degree.Results The incidence of PSD was 36.2%,and most were mild and moderate depression.A significant correlation was observed between PSD and the factors such as frontotemporal and basal ganglia lesions,literacy,economic situation,nerve function damage degree and ADL.Conclusion PSD is a common complication in patients with stroke,and has a close correlation with many factors.