脑出血患者情感障碍的因素分析及临床处理后的效果观察

目的 探讨脑出血患者情感障碍的相关因素并进行针对性的临床处理研究.方法 分析我院2011年1月～2013年12月发生的58例脑出血患者情感障碍的相关因素,包括性别、性格、经济状况、家庭关系、Barthel指数及神经功能缺损评分等6项因素,并对临床处理后的效果进行分析.结果 ①脑出血患者情感障碍发生与患者的性别、性格、Barthel指数及神经功能缺损有关（P＜0.05）,而与患者的经济状况和家庭关系无关（P＞0.05）.②Logistic多因素回归分析发现,性别、性格、Barthel指数及神经功能缺损程度是脑出血患者情感障碍发生的独立危险因素.③治疗后患者的Barthel指数较治疗前明显提高,差异有统计学意义（P＜0.05）;治疗后患者的神经功能缺损评分较治疗前明显降低,差异有统计学意义（P＜0.05）.结论 性别、性格、Barthel指数及神经功能缺损程度可作为脑出血患者发生情感障碍的相关因素,对其进行一定的临床处理后,可明显减轻脑出血患者的情感障碍,具有一定的临床意义.

Analysis of factors and clinical efficacy in cerebral hemorrhage patients with affective disorders

Objective To explore risk factors of cerebral hemorrhage patients with affective disorders and use of targeted clinical treatment.Methods Retrospective investigation method was used to investigate and analyze risk factors of 58 cases of cerebral hemorrhage patients with affective disorders,and risk factors include gender,personality,economic status,family relationships,Barthel index and neurological deficits.Results The incidence of affective disorders was related to gender,personality,Barthel index and neurological deficits （P〈0.05）,while affective disorders was not related to economic status and family relationships （P〉0.05）.Logistic regression analysis showed that gender,personality,Barthel index and the degree of neurological impairment were independent risk factors in cerebral hemorrhage patients with affective disorders.Barthel index of cerebral hemorrhage patients with affective disorders after treatment was significantly higher than that of patients before treatment,the difference was statistically significant （P〈0.05）.Neurological deficits of cerebral hemorrhage patients with affective disorders after treatment was significantly lower than that of patients before treatment,the difference was statistically significant （P〈0.05）.Conclusion The gender,personality,Barthel index and neurological deficits can be as relevant factors of cerebral hemorrhage patients with affective disorders.Clinical treatment can significantly reduce cerebral hemorrhage patients with affective disorders,and it has certain clinical applications.