| 卒中后抑郁障碍与血管性危险因素的相关性 |
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| 引用本文： | 邵蓓丽,林岩,李焰生,徐群,施国文,孙亚蒙,耿介立,陈莺. 卒中后抑郁障碍与血管性危险因素的相关性[J]. 神经病学与神经康复学杂志, 2010, 7(1) |
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| 作者姓名： | 邵蓓丽 林岩 李焰生 徐群 施国文 孙亚蒙 耿介立 陈莺 |
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| 作者单位： | 上海交通大学医学院附属仁济医院神经内科,上海,200127 |
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| 摘 要： | 目的 探讨卒中后抑郁障碍与血管性危险因素的相关性.方法 选择在卒中专病门诊连续就诊的资料完整的卒中初诊患者1055例,按有无抑郁障碍分为抑郁组和非抑郁组(对照组)两组.收集并比较两组患者的血管性危险因素.结果 1055例患者中,291例(27.6%)有抑郁障碍.抑郁障碍者的高血压史、心脏病史、高脂血症史、既往卒中史、高血压家族史和心脏病家族史的比例显著高于无抑郁障碍者(P均<0.05),而吸烟史、饮酒史、糖尿病史及卒中家族史无显著统计学差异.抑郁障碍者的血管危险因素个数明显多于无抑郁障碍组(P<0.01).多因素Logistic回归分析显示高血压史(RR 1.615,95%CI 1.135～2.298, P=0.008)、高脂血症史(RR 2.085,95%CI 1.490～2.918, P<0.01)、既往卒中史(RR 1.443,95%CI 1.034～2.014, P=0.031)和心脏病家族史(RR 1.844,95%CI 1.228～2.769, P=0.003)是卒中后抑郁的独立相关因素.结论卒中专病门诊患者的卒中后抑郁障碍患病率高.多种血管性危险因素和其数目是卒中后抑郁障碍的独立危险因素.
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| 关 键 词： | 卒中 抑郁障碍 血管性危险因素 |
Relationship between post-stroke depressive disorder and vascular risk factors |
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| Shao Beili,Lin Yan,Li Yansheng,Xu Qun,Shi Guowen,Sun Yameng,Geng Jieli,Chen Ying. Relationship between post-stroke depressive disorder and vascular risk factors[J]. Journal of Neurology and Neurorehabilitation, 2010, 7(1) |
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| Authors: | Shao Beili Lin Yan Li Yansheng Xu Qun Shi Guowen Sun Yameng Geng Jieli Chen Ying |
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| Affiliation: | Shao Beili,Lin Yan,Li Yansheng,Xu Qun,Shi Guowen,Sun Yameng,Geng Jieli,Chen Ying(Department of Neurology,Renji Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200127,China) |
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| Abstract: | Objective To investigate the relationship between post-stroke depressive disorder and vascular risk factors.Methods One thousand and fifty-five stroke patients were enrolled from their first visit in specific stroke clinic and were divided into the depressive group and the non-depressive(control)group according to their clinical features.The data of their vascular risk factors were collected and compared between two groups.Results Two hundred and ninety-one patients(27.6%)with depressive disorder were ident... |
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| Keywords: | stroke depressive disorder vascular risk factors |
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