【摘要】 目的 探讨脑卒中后抑郁发病率与神经功能缺损程度和日常生活能力的关系。方法 对198例住院诊断为脑卒中的患者，在发病1个月时用改良的爱丁堡斯堪的那维亚神经功能缺损评分表和日常生活能力量表进行评分，并根据汉密尔顿抑郁量表评定，分卒中后抑郁(post stroke depression，PSD)和非PSD两组。结果 卒中后1月时，PSD的发病率在神经功能缺损组中明显高于神经功能正常组；在生活能力依赖组中PSD的发生率明显高于独立生活能力组。结论 脑卒中后PSD的发病率在卒中后有神经功能缺损以及日常生活能力需依赖的患者中较高。

    【关键词】 卒中后抑郁 神经功能缺损 日常生活能力

    Clinical Study on Relation to Post Stroke Depression and Neurological Deficits or Activities of Daily living

    Qian Chunxian,et al.

    (Songjiang Hospital,Shanghai 201601,China)

    【Abstract】 Objective To explore the incidence and relation of Post Stroke Depression(PSD) and neurological deficits or activities of daily living.Methods 198 patients with stroke were divided into two groups (PSD and no PSD) after one month by Hamilton depression rating scales(HAMD),they were investigate by modified neurological deficit scale and activities of daily living scale.Results The sickness rate of PSD was rising with severe neurological deficits or activities of daily living.Conclusions The sickness rate of PSD is positively high in patients with neurological deficits or activities of daily living. ......