本文關(guān)鍵詞： 卒中 抑郁 日常生活活動 神經(jīng)心理學(xué)測驗(yàn)　出處：《中國現(xiàn)代神經(jīng)疾病雜志》2016年05期 　論文類型：期刊論文

【摘要】：目的探討腦卒中后抑郁與神經(jīng)功能缺損程度和日常生活活動能力的相關(guān)性。方法采用抑郁自評量表、漢密爾頓抑郁量表17項(xiàng)、美國國立衛(wèi)生研究院卒中量表、Barthel指數(shù)對160例腦卒中患者進(jìn)行抑郁、神經(jīng)功能缺損和日常生活活動能力評價。結(jié)果 160例腦卒中患者中65例(40.63%)出現(xiàn)抑郁癥狀。與無抑郁組相比,抑郁組患者神經(jīng)功能缺損程度更重(P=0.045)、日常生活活動能力更低(P=0.000)。進(jìn)一步將腦卒中后抑郁患者分為輕度、中度和重度抑郁亞組,隨著抑郁程度的增加,神經(jīng)功能缺損加重(P=0.000,0.000,0.000)、日常生活活動能力下降(P=0.000,0.000,0.000)。Pearson相關(guān)分析顯示,抑郁癥狀與神經(jīng)功能缺損程度呈正相關(guān)(r=0.534,P=0.005),與日常生活活動能力呈負(fù)相關(guān)(r=-0.645,P=0.002)。結(jié)論腦卒中后抑郁與神經(jīng)功能缺損程度和日常生活活動能力相關(guān),積極治療原發(fā)病、減輕神經(jīng)功能缺損、早期康復(fù)治療、提高日常生活活動能力,將有助于減輕腦卒中后抑郁程度。
[Abstract]:Objective to investigate the relationship between depression after stroke and the degree of neurological impairment and activities of daily living. Methods Self-rating Depression scale (SDS) and Hamilton Depression scale (Hamilton Depression scale) were used. The National Institutes of Health Stroke scale and Barthel Index were used to evaluate the depression, neurological impairment and activities of daily living (ADL) in 160 stroke patients. The degree of neurological deficit in depression group was more severe than that in control group, and the activity of daily living was lower. The patients with depression after stroke were further divided into mild, moderate and severe depression subgroups, and with the increase of depression degree, the patients with depression were divided into mild, moderate and severe depression subgroups. The neurologic deficit was aggravated by 0.000 ~ 0.000 ~ 0.000 ~ 0.000, and the activity of daily living decreased by 0.000 ~ 0.000 ~ 0.000 ~ 0.000 ~ 0.000 ~ 0.000 ~ 0.000 ~ 0.000. Pearson correlation analysis showed that. There was a positive correlation between depressive symptoms and the degree of neurological deficit, and a negative correlation between depression and ADL activity. Conclusion Depression after stroke is related to the degree of neurological deficit and activity of daily life, and can be used to treat the primary disease. Reducing neurological deficit, early rehabilitation and improving activities of daily life will help to alleviate depression after stroke.
【作者單位】： 首都醫(yī)科大學(xué)附屬北京世紀(jì)壇醫(yī)院神經(jīng)內(nèi)科;
【分類號】：R743.3;R749.4

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