急性缺血性脑卒中后抑郁及其相关因素分析

摘要

目的 探讨急性缺血性脑卒中后抑郁(PSD)的状态及其相关因素.方法 选取2009年1月至2011年5月期间来我院神经科住院急性缺血性卒中患者145例.通过对卒中后抑郁(PSD)的一般情况进行观察,并对影响抑郁的可能相关因素进行多因素回归分析.结果 PSD发生率为35.86％.根据HAMD评分分为轻度25例(48.O8％),中度21例(40.38％),重度6例(11.54％),数据显示绝大部分PSD属于轻中度抑郁.采用Logistic多因素回归分析结果显示性别、文化程度、社会支持程度、DNF评分、ADL评分等多个指标均为具体意义的相关因素(P,＜0.05).结论 PSD是急性缺血性脑卒中患者常见并发症,是多种因素共同作用的结果.在临床上应对PSD的相关影响因素给予高度重视,努力降低PSD的发生率,尽量避免各种因素对急性缺血性脑卒中患者抑郁康的影响.%Objective To investigate the risk factors for post-stroke depressive disorder after acute ischemic stroke. Methods 145 patients with dementia after ischemic stroke were enrolled from Jan 2009 to May 2011, the risk factors for PSD were analyzed. Results The incidence for PSD was 35.86%, and most were mild and moderate depression. Gender, education, DXF Score and ADL score were the risk factors for PSD. Results The incidence for PSD was 35.86%, and most were mild and moderate depression. Gender, education, DNF score and ADL score were the risk factors for PSD (P<0.05). Conclusion The incidence of PSD for patients with dementia after ischemic stroke was high, which has a close correlation with many factors. The high attention should be paid to the stroke patients with high risk factors depression, in order to decrease the incidence of PSD and avoid the relative factors for the PSD.