脑梗死颅内动脉狭窄、病灶位置与抑郁的关系

Relationship between Intracranial Arterial Stenosis, Lesion Location, and Depression in Patients with Cerebral Infarction

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(5)
作者
作者单位

周口市中心医院神经内科 ;

摘要
【摘要】探讨脑梗死颅内动脉狭窄、病灶位置与抑郁的关系。方法 本研究观察对象为2021年3月-2023年1月88例脑梗死患者,采用抑郁自评量表(SDS)评估抑郁情绪,并根据评估结果设为抑郁组、无抑郁组。比较两组患者颅内动脉狭窄程度、病灶位置以及一般资料。结果 88例脑梗死患者并发抑郁30例;抑郁组与无抑郁组颅内动脉狭窄程度、是否位于额叶或颞叶、病灶多发性与单发性、左右半球、前后循环、年龄、受教育年限差异具有统计学意义(P<0.05);两组性别、婚姻差异无统计学意义(P>0.05);多因素分析显示,颅内动脉严重狭窄、病灶位于额叶或颞叶、多发病灶、年龄>70岁、受教育年限<9年是脑梗死抑郁的危险因素(P<0.05)。结论 脑梗死患者抑郁情绪较为常见,颅内动脉严重狭窄、病灶位于额叶或颞叶、多发病灶等因素可能增加抑郁风险。
Abstract
[Abstract] Objective To explore the relationship between intracranial arterial stenosis, lesion location, and depression in patients with cerebral infarction. Methods Eighty-eight patients with cerebral infarction from March 2021 to January 2023 were selected as the study subjects. The Self Rating Depression Scale (SDS) were used to assess depressive mood. They were divided into depression group and non depression group based on the evaluation results. The degree of intracranial artery stenosis, lesion location, and general information between two groups of patients were compared. Results 88 patients with cerebral infarction complicated with depression, 30 cases. There were statistically significant differences in the degree of intracranial artery stenosis, whether it was located in the frontal or temporal lobes, multiple or single lesions, left and right hemispheres, anterior and posterior circulation, age, and years of education between the depression group and the non depression group (P<0.05). There was no statistically significant difference in gender and marriage between the two groups (P>0.05). Multivariate analysis showed that severe stenosis of intracranial arteries, lesions located in the frontal or temporal lobes, multiple lesions, age>70 years, and education<9 years were risk factors for cerebral infarction depression (P<0.05). Conclusion Depression is more common in patients with cerebral infarction, and factors such as severe stenosis of intracranial arteries, lesions located in the frontal or temporal lobes, and multiple lesions may increase the risk of depression.
关键词
关键词:脑梗死;颅内动脉狭窄;病灶位置;抑郁
KeyWord
Key words Cerebral Infarction; Intracranial Arterial Stenosis; Location of Lesion; Depressed
基金项目
页码 1078-1080
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胡建伟*. 脑梗死颅内动脉狭窄、病灶位置与抑郁的关系 [J]. 国际精神病学杂志. 2023; 50; (5). 1078 - 1080.

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