老年脑卒中急性期情感障碍的临床观察

目的探讨老年脑卒中急性期情感障碍患者的临床特点。方法根据诊断标准和入选条件收集急性脑卒中患者216例，采用相关量表进行临床指标评定，并据量表结果和年龄分为老年组（126例）和青年组（90例）。结果卒中后情感障碍共95例，总发病率为，13．98％，老年组卒中后情感障碍发病率为48．41%，其中抑郁发病率较高36．51％、焦虑发病率11．90％，青年组卒中后情感障碍发病率为37．78％。其中焦虑发病率为17．78％、抑郁发病率为20．00％。老年情感障碍组与青年情感障碍组在神经功能缺损评分、日常生活能力指数、伴发疾病评分及智能状况评分等方面比较均有统计学意义（P〈0．01）。结论老年卒中患者更易合并情感障碍，且以抑郁为主。

Affective Disorder in Aging Patients with Stroke in Acute - phase

Objective To explore the clinical characters of affective disorder in the aging patients（pts） with stroke in acutephase. Methods According to the diagnostic criteria,216 pts with acute stroke were collected and divided into two groups：The older age group（n=126） and the youth group（n=90）. Then affective disorder was evaluated by rating scales. Results There were 95 pts with affeetive disorder after stroke and incidence was 43.98%. Incidence of affective disorder after stroke in the older age group was 48.41%. The incidence of depression was 36.51% and that of anxiety was 11.90%. Incidence rate of affective disorder after stroke in the yout＇s age group was 37.78% .incidence of anxiety was 17.78% and that of depression was 20.00%. There was significant difference bet een the older age group with affective disorder after stroke（P〈0.01）. Conclusion There was higher incidence of affective disorder in aging pts with stroke than that in youth pts with stroke.