目的：对老年缺血性脑卒中患者卒中后抑郁(PSD)的发病特点、相关因素及其与痴呆的相关性进行探讨。方法整群选取该院2013年1月-2014年10月收治的老年缺血性卒中患者156例作为观察组，对老年卒中患者与同期门诊体检健康者作为对照组进行流行病学调查，分别对患者进行简易智能状态检查量表(MMSE)及汉密尔顿抑郁量表(HAMD)对患者抑郁状况和认知状态及情感状态，并进行对比分析。结果与健康人群(80例)比较，156例脑卒中患者患轻、中、重度PSD的人数明显高于对照组(P<0.05)；脑卒中患者中PSD患者并发痴呆发病率显著高于非PSD患者。结论脑卒中是PSD的发病率的因素，PSD患者更可能并发痴呆。%Objective To investigate the clinical characteristics and relevant factors of post-stroke depression (PSD) in the elderly after ischemic stroke and its correlation with dementia. Methods 156 elderly patients with ischemic stroke admitted in our hospital from January 2013 to October 2014 were selected as the observation group, and the people underwent physical examination in the clinic during the same period were selected as the control group. Epidemiological survey was conducted in the both groups. The depression and cognitive state and emotional status of the two groups investigated by Mini-Mental State Examination (MMSE) and Hamilton Depression Scale (HAMD) were compared and analyzed. Results Compared with the 80 healthy people in the control group, the number with mild, moderate and severe PSD in the 156 patients with ischemic stroke in the observation group was much more, respectively (P<0.05); and among the patients with ischemic stroke, those cases with PSD had obviously higher inci-dence of dementia than those without PSD. Conclusion Stroke is a factor causing PSD, and PSD patients are more likely to have dementia.
展开▼
