社区卒中后患者一般状况与抑郁发生的关系分析

目的探讨社区卒中后患者的一般状况、社会支持度与抑郁发生的相关性。方法 126例社区脑卒中患者按汉密尔顿抑郁量表（HAMD）评分分为无抑郁障碍组与抑郁障碍组,比较2组患者一般情况与社会支持度。结果抑郁障碍组女性、中学或以上教育程度、有血管性危险因素的比例高于无抑郁障碍组（P〈0.01或P〈0.05）;抑郁障碍组家庭人均月收入〉2 000元的比例低于无抑郁障碍组（P〈0.05）;抑郁障碍组患者总的社会支持度低于无抑郁障碍组患者（P〈0.05）,其中主观支持分、对支持的利用度差异有统计学意义（P〈0.05或P〈0.01）。结论卒中后抑郁（PSD）是脑卒中常见的并发症,为多因素共同作用的结果。患者的性别、教育程度、家庭经济状况、血管性危险因素及社会支持度可能影响社区脑卒中患者抑郁的发生。

Correlation between general condition and post-stroke depressive disorder in community patients

Objective To investigate the correlation between general condition(gender,age,level of education,family income,vascular risk factors and smoking and alcohol drinking history)and post-stroke depressive disorder in community patients.Methods Total of 126 post-stroke patients completed the Hamilton Depression Rating Scale(HAMD).Based on HAMD score,the cases were divided into two groups,Post-stroke depression(PSD)and non-PSD group.Compared with the datas of the two groups.Results The incidence rate of PSD was 35.7%.Female,high school or above education level and vascular risk factors were more prevalence in the PSD group(P<0.01,P<0.05).The income of average family which was over2 000 yuan per month were more prevalence in the non-PSD group(P<0.05).The total scores of SSRS was higher in non-PSD group(P<0.05).The scores of Subjective support and Availability of support in non-PSD group were higher than that in PSD group(P<0.05,P<0.01).Conclusion PSD is a common complication of cerebrovascular disease.It is a result of multiple factors,gender,level of education,income,vascular risk factors and Social Support might be more likely to suffer from PSD.