卒中后抑郁

Zoran Ž. Semiz, Ljiljana Semiz
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引用次数: 0

摘要

脑血管损伤(CVI)的高发及其与抑郁症的合并症不仅给患者的生活质量带来了困难,而且严重阻碍了患者康复的所有测量和尝试。工作范围是显示CVI缺血类型后抑郁的发生频率,其整体特征与患者的年龄、性别、病变部位以及身体残疾程度有关。采用国际疾病分类量表(MKB-10)、汉密尔顿抑郁量表(HAM-D-17)和Barthel残疾指数量表进行诊断。采用SPSS软件进行统计分析。在103例CVI患者中,43例(41.7%)在CVI后6个月的监测中发现继发性抑郁。CVI术后出现抑郁的年龄为58岁14例(32.6%),59 ~ 63岁17例(39.5%)。在后来的年龄,这一比例明显降低。年龄与抑郁状态有显著相关(p<0.05): χ 2 (3, n = 103) = 12.24;p=0.007,克莱默氏V=0.34。CVI后抑郁的出现在性别上存在差异。男性患者有16例(25.8%)抑郁,女性患者有27例(65.8%)抑郁:χ 2 (1,n=103)=14.67;p = 0.0002;φ= 0.4。病灶的定位在抑郁症的出现中具有重要意义。21例在额部,16例在基底节区,6例在其余部位。左半球病变部位出现较多的凹陷,但无统计学意义。身体残疾程度与抑郁严重程度之间存在一定的相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Poststroke Depression
High prevalence of cerebrovascular insults (CVI) and their comorbidity with depression additionally makes difficult not just quality of life, also its serious obstacle to all measurements and attempts of patient’s rehabilitation. The scope of work is to show frequency of depression after CVI ischemic type in whole its specifics in order to age of patients, gender, localization of lesion, as well as on level of physical handicapping. International classification of disease (MKB-10), Hamilton scale of depression (HAM-D-17) and Barthel index scale of disability were used for diagnosis. Statistical analysis was performed in SPSS programme. Among 103 patients with CVI 43 of them (41.7%) were found with consequential depression what was monitored in following six months after CVI. From total number of depressions after CVI in the age of 58 years old 14 (32.6%) were found, and in the age between 59-63 years old there were 17 (39.5%) found. In the later ages that percentage was significantly lower. This result had proved significant connection between age group and depression status (p<0.05): χ² (3, n = 103) = 12.24; p=0.007, Cramer’s V=0.34. Depression appearance after CVI in relation to genders has showed difference. Depression was marked at 16 (25.8%) male and 27 (65.8%) at female patients: χ² (1,n=103)=14.67; p=0.0002;Phi=0.4. Localization of lesion was significant in emergence of depression. In frontal part were found at 21 examinees, in basal ganglia at 16 and rest of localizations were found at 6 examinees: Depressions presence were more found at lesion localizations in left hemisphere, but no statistical importance. There were some correlation between level of physical disability and depression severity.
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