卒中后抑郁的影响因素及其对生活质量的影响

发布时间：2018-07-21 13:24

【摘要】：目的探讨患者卒中后抑郁(PSD)的影响因素及其对生活质量的影响。方法随机选取2015年2月至5月中国医科大学附属第一医院住院的52例脑卒中且入院时经抑郁量表评估未出现抑郁的患者作为研究对象,对其进行为期6个月的随访,统计其年龄、既往疾病史、患病类型、患病原因、治疗方法等情况,通过汉密尔顿抑郁量表(HAMD)、抑郁自评量表(SDS)评估患者抑郁情况;卒中专用生活质量评分(SS-QOL)、改良Rankin量表(MRS)评估其生活质量,分层抽样方法得出原始数据,使用SPSS 17.0对结果进行统计学分析。结果与中青年患者(60岁)比较,老年患者(≥60岁)PSD的患病率更高(P0.05);在脑梗死患者中,心源性栓塞引起的脑梗死较其他病因PSD的可能性更大(P0.05),不同发病部位的脑梗死患者在PSD方面也有差异,基底节区梗死的患者PSD的可能性较其他区域大(P0.01);高血压、糖尿病、冠心病等既往疾病对PSD无显著影响;脑卒中类型为脑出血还是脑梗死以及是否接受过溶栓治疗对患者患PSD的发病亦无显著影响;PSD会对患者生活质量产生不利影响。结论基底节区患病的老年(≥60岁)脑梗死患者、心源性栓塞引起的脑梗死患者是PSD的易发人群,应对其高度重视。PSD会对患者的生活质量产生不利的影响。
[Abstract]:Objective to investigate the influencing factors of post-stroke depression (PSD) and its effect on quality of life. Methods from February to May 2015, 52 patients with stroke who were hospitalized in the first affiliated Hospital of China Medical University and who were not depressed at the time of admission were selected as the study subjects. The patients were followed up for 6 months. Their age, history, type, cause and treatment were analyzed. The depression was evaluated by Hamilton Depression scale (Hamd) and self rating Depression scale (SDS). SS-QOL, modified Rankin scale (Mrs) were used to evaluate the quality of life. The original data were obtained by stratified sampling. SPSS 17.0 was used to analyze the results. Results the prevalence of PSD in elderly patients (鈮，

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