慢性焦虑抑郁与缺血性脑血管病的相关性

发布时间：2018-02-07 17:17

  本文关键词： 焦虑 抑郁症 脑梗死 动脉粥样硬化　出处：《中华老年心脑血管病杂志》2014年07期 　论文类型：期刊论文

【摘要】：目的探讨慢性焦虑和抑郁与缺血性脑血管病(ICVD)的相关性。方法选取我院神经科的住院患者220例,按照DMS-Ⅳ慢性焦虑抑郁诊断标准,分为慢性焦虑组107例和无慢性焦虑组113例;慢性抑郁组98例和无慢性抑郁组122例。并依据CT、MRI及磁共振血管造影检查,对患者进行脑梗死、缺血性脑白质病变及脑动脉粥样硬化影像学评分及分析。结果慢性焦虑组与无慢性焦虑组脑梗死、缺血性脑白质病变和脑动脉粥样硬化影像学评分比较,差异有统计学意义[(0.83±0.94)分vs(1.48±1.19)分,(0.71±1.00)分vs(1.32±1.27)分,(1.27±1.02)分vs(1.80±1.12)分,P=0.000,P=0.025];慢性抑郁组与无慢性抑郁组上述3项比较,差异无统计学意义(P0.05)。慢性焦虑评分与脑梗死、缺血性脑白质病变和脑动脉粥样硬化影像评分均呈负相关(r=-0.335,-0.213,-0.246;P=0.000,0.001,0.023);慢性抑郁评分与上述3项评分无相关性(P0.05)。结论适度的慢性焦虑对人体ICVD的发生、发展可能有延缓或减轻的作用,但需更进一步研究证实。
[Abstract]:Objective to investigate the relationship between chronic anxiety and depression and ischemic cerebrovascular disease (ICVD). Methods 220 inpatients in neurology department in our hospital were divided into chronic anxiety group (n = 107) and non-chronic anxiety group (n = 113) according to the diagnostic criteria of DMS- 鈪，

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