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目的 探讨老年期脑梗死后抑郁发生率及其危险因素。 方法 采用流调用抑郁自评量表 (CES D)对 78例住院老年期脑梗死病人进行筛查 ,对≥ 16分者用汉密尔顿抑郁量表 (HAMD)进一步检查 ,按有无抑郁分成抑郁组和对照组 ,并对 2组临床资料进行统计分析。 结果 ① 78例中 18例有抑郁情绪 ,抑郁发生率为2 3 0 8%。② 2组对照发现抑郁组多见重度偏瘫和大脑半球梗死者。③非条件逐步Logistic回归分析发现脑梗死后抑郁危险因素是年龄、偏瘫和痴呆。 结论 对老年期脑梗死病人需加强肢体功能和记忆功能训练 ,这对预防脑梗死后抑郁将起积极的作用。
Objective To investigate the incidence and risk factors of depression after senile cerebral infarction. Methods A total of 78 elderly patients with senile cerebral infarction were screened by Flow Depression Self-rating Depression Scale (CES D). Patients with ≥ 16 scores were further examined by Hamilton Depression Rating Scale (HAMD) Control group, and two groups of clinical data for statistical analysis. Results ① Among the 78 cases, 18 cases had depression and the incidence of depression was 23.0%. ② In the two groups, depression was found in more severe hemiplegia and cerebral hemisphere infarction. ③ Non-conditional stepwise Logistic regression analysis found that the risk factors of depression after cerebral infarction were age, hemiplegia and dementia. Conclusion It is necessary to strengthen the training of limb function and memory function in senile patients with cerebral infarction, which will play a positive role in preventing depression after cerebral infarction.