老年期脑梗死后抑郁危险因素探讨

目的 探讨老年期脑梗死后抑郁生发生率及其危险因素。方法 采用流调用抑郁自评量表（CESD）对78例住院老年期脑梗死病进行筛查，对≥16分者用汉密尔顿抑郁量表（HAMD）进一步检查，按有无抑郁分成抑郁级和对照组，并对2组临床资料进行统计分析。结果（1）78例中18例有抑郁情绪，抑郁发生率为23．08％。（2）2组对照发现抑郁组多见重度偏瘫和大脑半球梗死者。（3）非条件逐步Logistic回归分析发现脑梗死后抑郁危险因素是年龄、偏瘫和痴呆。结论 对老年期脑梗死病人需加强肢体功能和记忆功能训练，这对预防脑梗死后抑郁将起积极的作用。

Risk factors of depression after geriatric cerebral infarction

Objective To explore the prevalence and risk factors of geriatric postcerebral infarct depression. Methods Seventy-eight geriatric inpatients with cerebral infarction were screened by the criteria of Center for Epidemiological Survey Depression Scale(CES-D). The patients who were more than 16 by CES-D were investigated by Hamilton Depression Scale( HAMD). They were derided into two groups by HAMD scores. The clinical data of two groups were analysed by SPSS. Results ①The prevalence of depression was 23.08%. (②Severe hemiplegia and infarction of cerebral hemisphere were frequently seen in the depression subgroup. ③Age, hemiplegia and dementia were risk factors in post-infarct depression according to non-conditional logistic regression analysis. Condusions Function training of limb and memory need to be strengthened for old patients with cerebral infarction,and it will play an active role in preventing post-infarct depression.