脑梗死后焦虑抑郁共病患者的临床特征分析

目的 研究及分析脑梗死后焦虑抑郁共病患者的临床特征.方法 回顾性的分析了我院神经内科2011年1月至2013年11月收治的200例脑梗死后抑郁症患者的临床资料,将200例患者分为对照组和焦虑抑郁共病组,对两组患者一般情况差异进行了详细比较,HAMA量表和HAMD量表的总分、各项因素得分,巴塞尔指数和简易精神状态检查（MMSE）评分,分析两组临床特征的差异性.结果 两组患者的一般情况无显著性差异.脑梗死后焦虑抑郁共病组患者的焦虑和抑郁心境得分较高,紧张、肌肉系统和感觉系统的症状也比较明显,而胃肠系统、生殖泌尿系统的症状不是很明显.脑梗死后焦虑抑郁共病组的抑郁症状以精神性焦虑、躯体性焦虑和能力减退感的得分较高,而早醒、性症状等不明显.焦虑抑郁共病组的巴塞尔指数和简易精神状态检查（MMSE）得分均低于对照组（P＜0.05）.结论 脑梗死后焦虑抑郁共病患者的具有特殊的临床特征,其中精神方面的症状特点最为明显.

Anxiety Depression After Cerebral Infarction Patients Clinical Characteristics Analysis

Objective To determine the cerebral infarction. Methods Analysis of hospi clinicaI characteristics of comorbid anxiety and depression after tal neurology January 2011 - November 2013 after the relevant clinical data of 200 cases of cerebral infarction treated patients with depression, All the patients enrolled were divided into post - stroke comorbid anxiety and depressiongroupand the control group. Two groups of patients were compared in normal circumstances, cases）, Hamilton Anxiety Scale （HAMA）, Hamilton Depressive Scale （HAMD）, Barthel index, and Mini- Mental State Examination（MMSE）. Analysis of two clinical characteristics differences. Results Normal circumstances the two groups were not significantly different. Anxiety and depression after cerebral infarction in patients with comorbid group scored higher anxiety and depressed mood, tension, symptoms of muscular system and the sensory system is also more obvious, and the gastrointestinal system, the genitourinary system symptoms are not very obvious. Higher comorbid anxiety and depression after cerebral in- farction group depressive symptoms in the spirit of anxiety, somatic anxiety and a sense of diminished ability to score, and wake up early, symptoms and so obvious. Consider depression comorbid group Basel index and Mini Mental State Examination （MMSE） scores were lower than the control group（P 〈 0.05）. Conclusion Anxiety and depression after cerebral infarction clinical characteristics of patients with symptoms of mental aspect is more obvious, accompanied by physical symptoms.