【摘要】：目的探討患者卒中后抑郁(PSD)的影響因素及其對生活質(zhì)量的影響。方法隨機選取2015年2月至5月中國醫(yī)科大學附屬第一醫(yī)院住院的52例腦卒中且入院時經(jīng)抑郁量表評估未出現(xiàn)抑郁的患者作為研究對象,對其進行為期6個月的隨訪,統(tǒng)計其年齡、既往疾病史、患病類型、患病原因、治療方法等情況,通過漢密爾頓抑郁量表(HAMD)、抑郁自評量表(SDS)評估患者抑郁情況;卒中專用生活質(zhì)量評分(SS-QOL)、改良Rankin量表(MRS)評估其生活質(zhì)量,分層抽樣方法得出原始數(shù)據(jù),使用SPSS 17.0對結(jié)果進行統(tǒng)計學分析。結(jié)果與中青年患者(60歲)比較,老年患者(≥60歲)PSD的患病率更高(P0.05);在腦梗死患者中,心源性栓塞引起的腦梗死較其他病因PSD的可能性更大(P0.05),不同發(fā)病部位的腦梗死患者在PSD方面也有差異,基底節(jié)區(qū)梗死的患者PSD的可能性較其他區(qū)域大(P0.01);高血壓、糖尿病、冠心病等既往疾病對PSD無顯著影響;腦卒中類型為腦出血還是腦梗死以及是否接受過溶栓治療對患者患PSD的發(fā)病亦無顯著影響;PSD會對患者生活質(zhì)量產(chǎn)生不利影響。結(jié)論基底節(jié)區(qū)患病的老年(≥60歲)腦梗死患者、心源性栓塞引起的腦梗死患者是PSD的易發(fā)人群,應對其高度重視。PSD會對患者的生活質(zhì)量產(chǎn)生不利的影響。
[Abstract]:Objective to investigate the influencing factors of post-stroke depression (PSD) and its effect on quality of life. Methods from February to May 2015, 52 patients with stroke who were hospitalized in the first affiliated Hospital of China Medical University and who were not depressed at the time of admission were selected as the study subjects. The patients were followed up for 6 months. Their age, history, type, cause and treatment were analyzed. The depression was evaluated by Hamilton Depression scale (Hamd) and self rating Depression scale (SDS). SS-QOL, modified Rankin scale (Mrs) were used to evaluate the quality of life. The original data were obtained by stratified sampling. SPSS 17.0 was used to analyze the results. Results the prevalence of PSD in elderly patients (鈮，

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