脑卒中抑郁相关因素的临床分析 |
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引用本文: | 史亚玲,蔺雪梅. 脑卒中抑郁相关因素的临床分析[J]. 临床医药实践, 2008, 0(S5) |
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作者姓名: | 史亚玲 蔺雪梅 |
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作者单位: | 西安第一医院; |
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摘 要: | 目的:分析脑卒中后抑郁(PSD)的相关因素。方法:对178例脑卒中患者采用汗密尔顿抑郁量表(HAM D)调查抑郁的发生情况,评定其与卒中性质、损害部位、病灶数目、失语、神经功能缺损程度等因素的关系。结果:脑梗死和脑出血抑郁发生率无明显关联。大脑半球梗死者抑郁发生率明显高于脑干和小脑梗死者,左半球卒中者抑郁发生率明显高于右半球卒中者,左侧基底节区梗死者抑郁发生率明显高于左侧除额叶外非基底节区梗死者,左侧额叶梗死者抑郁发生率明显高于左侧非额叶梗死者。大脑半球梗死灶为多发者HAM D评分明显高于大脑半球梗死灶为单发者。失语者抑郁发生率明显高于非失语者。伴PSD者欧洲脑卒中评分(ESS)明显低于不伴PSD者。结论:PSD的发生与卒中、梗死或出血无关,与卒中损害部位、病灶数目、是否伴有失语以及神经功能缺损程度有关。
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关 键 词: | 脑卒中 抑郁 分析 |
Clinical analysis of correlative factors in post stroke depression |
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Abstract: | Objective:To analyze the correlative factors of post stroke depression.Methods:We researched 178 stroke patients and evaluated their incidence of depression with Hamilton Depression Scale,to explore the relationship between depression and stroke type,lesion location,lesion quantity,aphasia and severity of neurological deficit.Results:The incidence of depression is no significant difference between ischemic stroke and hemorrhagic stroke patients.While in hemisphere infarction patients occurred depression is ... |
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Keywords: | stroke depression analysis |
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