脑卒中后焦虑抑郁共病的临床初步研究

目的 了解脑卒中后焦虑抑郁共病（PSCAD）的发生率、相关因素及症状特点，寻找防治措施。方法 采用SAS、SDS量表对115例脑卒中病人进行测评，收集年龄、病程、性别、卒中次数、肌力等资料，对所获资料统计分析。结果 PSCAD的发生率为27．83％，病程、卒中次数、偏瘫程度等与PSCAD的发生相关。常见焦虑症状有不幸预感、睡眠障碍、乏力、焦虑等，抑郁症有能力减退、忧郁、易激惹、食欲减退等。结论 宜注重防治脑卒中，加强心理、家庭、社会支持，适当选用抗焦虑、抑郁药物治疗。

A Preliminary Clinical Study on Post-stroke Comorbid Anxiety and Depression

To explore the incidence rate, related factors and symptom features of post -stroke comorbid anxiety and depression (PSCAD) in order to assess prophylactico- therapy. Methods The data from 115 stroke patients who were evaluated by SAS and SDS, on age, course of disease, sexuality, stroke frequency and myodynamia, were analyzed statistically. Results The incidence rate of PSCAD is 27.83% ; course of disease, stroke frequency and degree of hemiplegia are highly related to the incidence rate of PSCAD. The symptoms, such as ominous premonition, dysphoria, hypodynamia, dyssomnia are common in anxiety; hypoergais, melancholy, irritability, anorexia are common in depression. Conclusions The prophylsxis and therapeutics of stroke should be emphasized; family and social support should be given to patients; some antianxiety and antidepressive drugs are helpful.