摘要
目的调查脑梗死患者述情障碍的发生情况及其危险因素。方法本研究对象为我院2020年2月~2022年2月110例脑梗死患者,采用多伦多述情障碍量表(TAS-20)评估患者述情障碍发生情况,并根据评估结果设为述情障碍组以及对照组。比较两组患者年龄、性别等一般资料,评估神经功能缺损程度、合并抑郁等,采用单因素、多因素分析调查梗死后述情障碍危险因素。结果110例患者中出现述情障碍的有44例;两组年龄、文化水平、美国国立卫生院卒中量表(NIHSS)、偏瘫、失语、合并抑郁、社会支持水平差异具有统计学意义(P<0.05),两组性别、婚姻状况、居住地、家庭月收入差异无统计学意义(P>0.05);多因素分析显示,小学及以下文化水平、偏瘫、失语、合并抑郁、社会支持水平低、NIHSS评分≥15分是脑梗死后述情障碍的危险因素。结论脑梗死患者述情障碍的发生率较高,其发生受到文化水平、神经功能缺损程度等因素的影响,应针对述情障碍高危患者采取有效的干预措施以预防述情障碍的发生。
Objective To investigate the occurrence and risk factors of alexithymia in patients after cerebral infarction.Methods A total of 110 patients with cerebral infarction in our hospital from February 2020 to February 2022 were selected.The Toronto alexithymia scale(TAS-20)was used to assess the occurrence of alexithymia in patients.They were divided into the alexithymia group and the control group according to the evaluation results.The general data such as age and gender were compared between the two groups,and the degree of neurological deficit and depression were evaluated.Univariate and multivariate analysis were used to investigate the risk factors of post-infarction alexithymia.Results 44 cases of alexithymia were detected in 110 patients.There were significant differences in age,education level,National Institutes of Health Stroke Scale(NIHSS),hemiplegia,aphasia,combined depression,and social support levels between the two groups(P<0.05).There was no significant difference in gender,marital status,residence and monthly family income between the two groups(P>0.05).Multivariate analysis showed that the educational level of primary school and below,hemiplegia,aphasia,combined depression,low level of social support,and NIHSS score≥15 were the risk factors for alexithymia after cerebral infarction.Conclusion The incidence of alexithymia in patients after cerebral infarction is high,which is affected by factors such as educational level and degree of neurological deficit.Effective intervention measures should be taken for high-risk patients with alexithymia to prevent the occurrence of alexithymia.
作者
曹金娟
CAO Jinjuan(Department of Neurology,Kaifeng Central Hospital,Kaifeng 475000,China)
出处
《国际精神病学杂志》
2023年第5期1065-1067,共3页
Journal Of International Psychiatry
关键词
脑梗死
述情障碍
危险因素
Cerebral infarction
Alexithymia
Risk factors
