【摘要】 目的探讨脑卒中后急性期抑郁症的发生率及相关因素。方法对178例脑卒中急性期患者采用自制的一般情况调查表,汉密尔顿抑郁量表进行调查评分,通过头CT或MRI进行卒中病灶定位,并根据改良的爱丁堡斯堪的那维亚神经功能缺损评分表(SSS)对急性期进行评分,日常生活能力量表判定日常生活能力。结果脑卒中后抑郁的发生率为38.8%,脑卒中后抑郁严重程度以轻中度者居多(86.9%),脑卒中后抑郁相关因素有文化程度高、经济条件差、病灶部位、神经功能缺损及日常生活能力受限。结论脑卒中后抑郁有较高的发生率,脑卒中后抑郁与文化程度高、经济条件差、病灶部位、神经功能缺损程度及日常生活能力等密切相关。更多还原

【Abstract】 Objective To explore the incidence and related factors of post-stroke depression(PSD).Methods One hundred and seventy-eight patients with acute stroke were assessed by self-designed register form and Hamilton depression rating scale.Locations of focal lesions were shown by CT scans or MRI.They were investigated by neurological deficit scale and activities of daily living were evaluated by daily living scale.Results 38.8% of the patients were shown to have depression.The majority of the post-stroke depression patients(86.9%) were in mild or middle degree.The incidence was higher in high educated,economical condition shorted,location of focal lesions;It’s also higher in patients with neurological deficits and limited activities of daily living.Conclusion Post-stroke depression has high incidence.Post-stroke depression has significant relation to high educated,economical condition shorted,location of focal lesions,neurological deficits and activities of daily living.更多还原