急性脑血管病后抑郁(附70例报告)

目的　探讨急性脑血管病后抑郁的发生率 ,与病变部位、危险因素、性别、年龄、病变倾向、瘫痪程度的关系。方法　采用汉密顿抑郁量表对 70例脑中风患者进行测查。结果　脑血管病后抑郁的发病率为5 0 % ,以皮质前部发生率最高 ,达 80 % ;伴危险因素者都表现出较高的抑郁发病率 ,与无危险因素者比差异有显著意义 ;瘫痪重者 ,抑郁症状重 ;脑出血抑郁发生率较脑梗死高 ,但差异无显著意义 ;性别、年龄与抑郁关系不大。结论　急性脑血管病能产生抑郁症状 ,但更重要的是与患者心理应激能力下降 ,而产生的焦虑 ,悲观情绪有关 ,适时用抗抑郁药 ,能改善患者焦虑、抑郁的状态

Report of Patient Depression after Suffered Acute Cerebral Vescular Disease

Objective To discuss the incidence of depression after suffered acute vascular cerebral disease (AVCD)and its relation with lesion location, risk factor, sex, age, tendency and paralysis. Methods 70 cases of cerebral stroke patient were detected with Hamilton table. Results The incidence of depression was 50%. The incidence of anterior cortex was 80%. The higher risk factors would gain high incidence of depression with significant difference. The paralysis patient had severe depression. The incidence of cerebral bleeding was higher than that of infarction. There was no relation with sex and age. Conclusion The AVCD could produce the depression and depression was related with decreased ability of psychological stress that caused anxious and sad. The anti-depressive drug could improve the symptoms.