| 林白浪 王曙红 安学芳 陈小芬 夏杰琼.脑卒中后抑郁的发生率与危险因素的研究[J].,2015,15(18):3492-3495 |
| 脑卒中后抑郁的发生率与危险因素的研究 |
| Incidence and Related Factors in Post-stroke Depression in Haikou |
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| DOI： |
| 中文关键词: 脑卒中后抑郁 发生率 危险因素 |
| 英文关键词: Post-stroke depression Prevalence Risk factors |
| 基金项目:海口市残联人联合会支持项目（海财社〔2014〕2067 号） |
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| 中文摘要: |
| 目的：调查脑卒中患者抑郁的发生率，分析影响脑卒中后抑郁(post-stroke depression，PSD)发生率的相关因素。方法：随机调
查400 例符合纳入标准的脑卒中后的患者，采用自行设计的基本资料调查表收集患者的一般资料，采用抑郁自评量表(SDS)和汉
密尔顿抑郁量表(HAMD)17 项版本评定患者的抑郁情况，采用Barthel 生活能力指数(B1)对患者日常生活能力评分，采用改良的
爱丁堡斯堪的那维亚神经功能缺损评分表(SSS) 对神经功能缺损评分(NFA)。结果：PSD 总发生率为49.5 %，其中轻度抑郁为
26.5 %，中度抑郁为16.0 %，重度抑郁为7.0 %，影响脑卒中后抑郁发生的相关因素有既往抑郁病史（P=0.000）、性别（P=0.046）、社
会交往（P=0.000）、家庭关系（P=0.000）、照料人（P=0.000）、既往患病（P=0.000）、合并疾病种类（P=0.000）、卒中后病程（P=0.000）、
日常生活能力（P=0.000）和神经功能缺损（P=0.000）。结论：脑卒中后抑郁的发生可能是多种因素共同作用的结果。 |
| 英文摘要: |
| Objective:To research the incidence and related factors of post-stroke depression (PSD) in Haikou.Methods:400
patients with post-stroke were selected. The self-designed questionnaire was used to collect the patients general data. Self-Rating
Depression Scale (SDS) and 17-item Hamilton Depression Rating Scales were used to assess depression. The patients, daily life ability
score was evaluated by the Barthel life ability index (BI). The nerve function defect score (NFA) was assessed by modifying the
Edinburgh Scandinavia the same neural function defect scale (SSS).Results:Among them, 198 cases (49.5 %) were identified as
depression. The mild, moderate and severe incidences were 26.5 %, 16.0%, and 7.0 %, respectively. In addition, the analysis of variance
showed that related factors involved in PSD contained depression history, social communication, family harmony, number of lesions,
prevalence of previous, accompanying disease, stroke course, activity of daily living ,neurological deficit (P<0.01) and gender(P<0.05).Conclusion:PSD may be caused by multiple factors. |
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