卒中后抑郁；发生率；临床特点；抑郁自评量表；汉密尔顿抑郁量表

卒中后抑郁障碍198例临床特点分析

http://www.100md.com 《临床心身疾病杂志》 2006年第2期

卒中后抑郁；发生率；临床特点；抑郁自评量表；汉密尔顿抑郁量表,,卒中后抑郁；发生率；临床特点；抑郁自评量表；汉密尔顿抑郁量表,【摘要】,【关键词】,1对象与方

     【摘要】 目的探讨卒中后抑郁障碍的临床特点及其发生率。方法对198例入组患者采用抑郁自评量表进行评定分组，抑郁自评量表总分<30分为非抑郁组，≥30分为抑郁组。对抑郁组应用汉密尔顿抑郁量表进行抑郁程度评定，汉密尔顿抑郁量表总分<8分为无抑郁，≥8分为轻度抑郁，≥17分为中度抑郁，≥24分为重度抑郁，并对抑郁障碍的临床特点及其发生率进行分析。结果卒中后抑郁障碍发生率36.86%，其中轻度抑郁46例(63.01%)，中度抑郁19例(26.03%)，重度抑郁8例(10.96%)。卒中后抑郁障碍患者的主要临床特点为睡眠障碍、绝望、运动阻滞、焦虑等。结论卒中后抑郁障碍发生率较高，对患者的神经功能康复和日常生活有明显的负性影响。

    【关键词】 卒中后抑郁；发生率；临床特点；抑郁自评量表；汉密尔顿抑郁量表

    Analyses of clinical features in 198 patients with poststroke depression

    Ji Qiuming

    (The Second Mental Hospital of Wuhan City, 430084, Hubei, China)

    【Abstract】 Objective To explore clinical features and incidence of poststroke depression (PSD). Methods 198 stroke patients were assessed and divided with the SelfRating Depression Scale(SDS) into nondepression(total score < 30) and depression(≥ 30) group. Severity of depression was assessed with the Hamilton Depression Rating Scale(HAMD): total score <8 was nondepression, ≥ 8 mild depression, ≥ 17 moderate and ≥ 24 grave. Results Incidence of poststroke depression was 36.86%, among them 46(63.01%) were mild,19(26.03%) moderate and 8(10.96%) grave. The clinical features of PSD patients were sleep disorder, hopelessness, dyscinesia and anxiety and so on. Conclusion The incidence of poststroke depression is higher and the PSD has significant negative effects on recovery of nervous function and daily life. ......

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