脑梗死恢复期抑郁及相关因素分析

目的探讨脑梗死恢复期抑郁的发生情况及相关因素.方法采用汉密尔顿抑郁量表(HAMD)将87例初发脑梗死恢复期患者分为抑郁组和非抑郁组,分别行脑卒中神经功能缺损评分(SSS)和日常生活能力评定(ADL).结果在87例脑梗死恢复期患者中抑郁发生率为41.4%,抑郁组SSS评分明显高于非抑郁组(P＜0.01),抑郁组ADL评分低于非抑郁组(P＜0.01),而病灶数量、部位在2组中无显著性差异.结论抑郁是脑梗死患者恢复期常见的并发症,其发生与神经功能缺损严重程度、日常生活能力依赖程度有关.

Post-stroke depression and associated factors

Objective To study post stroke depression during the recovery period in the patients with cerebral infarction and the associated factors.Methods 87 patients in the duration of recovery of initial cerebral infarction were divided into depression group and non depression group according to the analysis of Hamilton Depression Rating scale (HAMD),respectively assessed by Activities of Daily Living (ADL) and the neurological deficit,called Scandinavian Stroke Scale(SSS).Results Of the 87 patients involved,36( 41.4% ) suffered from the depression.The index of SSS showed a statistically significant variant between depression group and non depression group ( P < 0.01 ).The higher dependence in ADL of depression group had a statistically significant effect,compared with non depression group ( P < 0.01 ).Otherwise no statistically significant difference was found in location and quantities of nidus between two groups.Conclusions Depression is one of the prevalent complications in the duration of recovery of cerebral infarction,related to the severity of neurological deficit and the dependence in activities of daily living.