【摘要】：目的探討腦卒中后抑郁(PSD)與頸動脈粥樣硬化的關(guān)系。方法 304例缺血性腦梗死患者,根據(jù)漢密爾頓抑郁量表(HAMD)評分結(jié)果,總分8分者為非PSD組,≥8分者為PSD組,比較兩組頸動脈內(nèi)-中膜厚度(CIMT)和頸動脈粥樣硬化斑塊情況,分析PSD發(fā)生的危險因素。結(jié)果 PSD組CIMT增厚檢出率(97.0%)較非PSD組(74.4%)高(P0.01),PSD組CIMT厚度[(1.78±0.68)mm]大于非PSD組[(1.27±0.36)mm](P0.01);PSD組斑塊檢出率(89.1%)較非PSD組(73.9%)高(P0.01),PSD組斑塊面積[(26.22±0.28)mm2]大于非PSD組[(13.25±0.16)mm2](P0.01)。兩組患者年齡、腦卒中次數(shù)和病灶數(shù)量比較差異有統(tǒng)計學意義(P0.05)。Logistic回歸分析結(jié)果顯示,CIMT(P=0.000,OR=7.143,95%CI:3.559~14.335)和頸動脈粥樣硬化斑塊(P=0.020,OR=5.033,95%CI:1.288~19.665)是PSD的危險因素。結(jié)論 CIMT和頸動脈粥樣硬化斑塊是PSD發(fā)生的危險因素。
[Abstract]:Objective to investigate the relationship between (PSD) and carotid atherosclerosis after stroke. Methods according to the (HAMD) score of Hamilton Depression scale, 304 patients with ischemic cerebral infarction were divided into non-PSD group and PSD group with total score of 8 and 鈮，

本文編號：2326335