中青年卒中后抑郁相關(guān)因素分析

摘 要 目的:探討中青年卒中后抑郁的發(fā)生率及相關(guān)因素。方法:對58例診斷為腦卒中的中青年患者進(jìn)行調(diào)查及評分，并將數(shù)據(jù)錄入表格進(jìn)行統(tǒng)計(jì)分析。結(jié)果:中青年卒中后抑郁的發(fā)生率為37.93%，抑郁的發(fā)生與性別、文化程度、職業(yè)、病灶的部位等無明顯關(guān)系，而與神經(jīng)功能缺損、煙酒嗜好、合并高血壓等有一定關(guān)系。結(jié)論:中青年卒中后抑郁是腦卒中的常見并發(fā)癥，直接影響疾病的預(yù)后，所以應(yīng)重視中青年卒中后抑郁的早期預(yù)防和診治。

關(guān)鍵詞 腦卒中 卒中后抑郁 神經(jīng)功能缺損

doi:10.3969/j.issn.1007-614x.2010.24.024

AbstractObjective:To explore the incidence of poststroked depression and its related factors in the young and middle-aged people.Methods:58patients with cerebral stroke in the young and middle-aged people were investigated by using HAMD and SSS.The data was analyzed with statistical method.Results:Incidence of poststroked depression young and middle aged adults was 37.93%.It was not related with sex，culture background，profession，location lesions.But it was related with clinical neurological deficit，the hobby of tobacco and alcohol and complicating hypertension.Conclusion:poststroke depression is common complication after stroke in young and middle aged people.It directly affects prognosis of stroke.The early prevention diagnosis and treatment of poststroke depression should be emphasized.

Key wordsstroke;poststroke depression;clinical neurological deficit

卒中后抑郁(PSD)是腦卒中較常見的并發(fā)癥，患者除神經(jīng)功能缺損癥狀外，常伴有情緒低落、興趣缺乏、悲觀失望、失眠等癥狀。PSD不僅有不良的情緒體驗(yàn)和軀體功能障礙，還將嚴(yán)重影響患者生活質(zhì)量及患者神經(jīng)及肢體功能的康復(fù)[1]。

筆者究通過對58例中青年腦卒中患者的調(diào)查，對中青年腦卒中后抑郁的發(fā)生率和相關(guān)因素進(jìn)行了分析，現(xiàn)報(bào)告如下。

對象與方法

2006年9月～2008年12月中青年腦卒中患者58例，發(fā)病時(shí)間14天～3個(gè)月，且均為右利手。入組標(biāo)準(zhǔn):年齡26～45歲，病程2周～3個(gè)月。大腦半球病變(梗死或出血)、意識清楚、無明顯語言障礙(包括部分運(yùn)動(dòng)性失語，但無感覺性失語)、頭顱CT有陽性發(fā)現(xiàn)者。排除標(biāo)準(zhǔn):腦卒中后病情嚴(yán)重或伴有意識障礙不能配合檢查者、伴明顯失語且失用而不能配合檢查者、嚴(yán)重認(rèn)知功能障礙不能配合檢查者、有精神障礙個(gè)人或家族史陽性者、合并除抑郁焦慮之外的其他嚴(yán)重精神疾病者、合并嚴(yán)重心肺功能衰竭、肺癌或其他嚴(yán)重軀體疾病不能配合檢查者。