摘要
目的了解中风后抑郁(PSD)的发生率及影响因素。方法121例中风后患者进行汉密顿抑郁量表(HAMD)检查,以CSS评分评定神经功能缺损程度,日常生活能力量表(ADL)评定患者的日常生活能力。应用单因素分析和多因素logistic回归分析对16个自变量进行筛选。结果121例中有59例发生了抑郁,发生率为48.76%。单因素分析结果可见性别、病程、日常生活能力减退程度、神经功能缺损程度可影响抑郁的发生。用上述4个因素作为自变量,以抑郁发生作为因变量,进行多因素logistic回归分析,结果见中风后6个月内的患者、神经功能缺损程度严重者抑郁的发生率高。结论中风后抑郁的发生率为48.76%,中风后的病程和神经功能缺损严重程度与抑郁的发生有关。
Objective To observe the incidence and influential factors of post stroke depression (PSD). Methods 121 patients with PSD were assessed with the Hamilton Depression Rating Scales. Severity of disease was evaluated with Chinese Stroke Scale. The capability of life was evaluated by Activity of Daily Living (ADL). Sixteen independent variables were analyzed with single factor analyses and multiple factors logistic regression. Results 59 out of 121 cases developed depression symptoms, with an incidence rate of 48.76%. By using single factor analyses, it was found that gender, the course after stroke, reduced activity of daily living and severity of impaired neurological function were correlated to the development of PSD. With multiple factors logistic regression analysis based on the 4 factors mentioned above as independent variables and the development of PSD as dependent variable, it was noticed that the patients within 6 months after stroke or those with severe impaired neurological function were prone to develop PSD. Conclusions The incidence rate of PSD was 48.76%. The development of PSD was correlated to the severity of impaired neurological function and the course after stroke.
出处
《老年医学与保健》
CAS
2005年第1期46-48,共3页
Geriatrics & Health Care
关键词
抑郁症
因素分析
统计学
中风后遗症
Depression
Factor analysis, statistical
Poststroke syndrome
