摘要
目的研究老年人卒中后抑郁(PSD)的发生率及其相关因素。方法采用自制一般情况调查表、抑郁自评量表(SDS)、汉密尔顿抑郁量表(HAMD)、简易智能量表(MMSE)及改良爱丁堡-斯堪的那维亚神经功能缺损评分量表(SSS)对卒中患者进行测评,并对有显著意义的因素进行Logistic回归分析。结果PSD发生率为41.6%,其中轻度22.3%,中度15.7%,重度3.6%,以轻、中度抑郁为主。影响PSD发生的相关因素有性别、年龄、抑郁症史、病灶数量、高血压、饮酒、认知功能及神经功能缺损。结论PSD发生率较高,是生物-心理-社会因素共同作用的结果。
Objective To investigate the incidence and related factors of post-stroke depression（PSD）. Methods 166 patients with stroke were assessed by self-designed questionnaire, self-rating depression scale（ SDS）, Hamilton depression rating scales（ HAMD）, mini-mental state examination（MMSE） and scandinavian stroke scale （SSS）. A multiple factor analysis with the Logistic regression method was performed on the significant related factors of PSD. Results The incidence of PSD was 41.6% , including 22. 3% of mild patients, 15.7% moderate patients and 3.6% severe patients. Mild or moderate PSD was more common. Logistic regression analysis showed that related factors of PSD included sex, age, history of depression, number of lesions, hypertension, drinking, cognitive dysfunction and neurological deficits. Conclusions The incidence of PSD is high, and it may be caused by biology-psychology-social factors.
出处
《实用老年医学》
CAS
2008年第1期36-39,共4页
Practical Geriatrics
关键词
卒中后抑郁
发生率
相关因素
老年人
post-stroke depression
incidence
related factors
aged
