老年人脑梗死后抑郁症及影响因素的研究

应用Ｈａｍｉｌｔｏｎ抑郁量表对１０２例老年脑梗死患者的抑郁症进行研究，同时研究其与神经功能缺损程度、病变部位、病灶面积及数目的关系。结果显示：（１）老年人脑梗死后有５８％的患者出现抑郁症状。（２）抑郁症状与神经功能缺损程度成显著正相关（Ｐ〈０．００１）。（３）皮质下梗死，尤其是多发性腔隙梗死，与其他部位梗死相比，更易发生抑郁症。（４）梗死后抑郁症的发生率与腔隙梗死灶的数量及非腔隙梗死的面积有关。老

The Senile Post-cerebral-infarction Depression and Its Related Factors

To study 102 senile patients with post-cerebral- infarction depression (PCID ) with Hamilton depression table and the relationship between PCID and neurological functional defect, location, area and number of infarct lesions. Results: (1) 58% patients appeared depressive symptoms after an attack of infarction. (2)There was positive correlation between the depressive symptoms and neurological functional defect. (3) Subcortical infarction, especially multiple lacunae, induced depression more easily than other places. (4)The incidence of PCID was related to the infarct areas and lacunar numbers. The happening of PCID was resulted from both endogenous and exogenous factors.