首发脑梗死患者卒中后抑郁的临床特征及与病灶相关性分析

Clinical characteristics of post - stroke depression in patients with first - episode cerebral infarction and its correlation with lesion

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(4)
作者
作者单位

辽宁省人民医院神经内科 ;

摘要
【摘要】 研究分析首发脑梗死患者卒中后抑郁临床特征及和病灶相关性。方法 选取本院2014年12月至2016年12月期间早我院就诊的首发脑梗死卒中患者68例,根据是否伴有抑郁分为:伴抑郁21例,设为观察组,不伴抑郁47例,设为对照组,观察两组患者临床特征,并分析脑梗死卒中后抑郁和病灶部位、病灶大小相关性。结果 两组患者左侧大脑半球梗死率比较,皮质下及额叶梗死率存在显著性差异(P<0.05),右侧大脑半球梗死发生率未见统计学差异(P>0.05);观察组梗死灶直径≥3.6cm患者所占比例明显高于对照组,差异有统计学意义(P<0.05);观察组中病灶直径≥3.6cm患者重度抑郁发生率明显高于直径<3.6cm组,组间比较存在统计学差异(P<0.05)。结论 首发脑梗死卒中后抑郁患者的梗死灶常见于左侧大脑半球皮质下,且卒中后抑郁病情的严重程度和梗死灶直径的大小密切相关。
Abstract
【Abstract】 Objective To investigate the clinical characteristics of patients with first-episode post-stroke depression and analyze the relationship between disease and lesion.Methods in our hospital from December 2014 to early December 2016 in our hospital 68 cases of cerebral infarction in patients with stroke, according to whether the patients with depression were divided into: 21 patients with depression, as observation group, 47 cases without depression, as control group, observe two groups of patients with clinical features and analysis of focal brain infarction after stroke and depression lesion size, correlation.Results the two groups of patients with left hemisphere infarction rate comparison, there were significant differences in subcortical and frontal lobe infarction (P < 0.05), right hemisphere infarction rate was no significant difference (P > 0.05); the observation group the infarct size was larger than 3.6cm proportion of patients was significantly higher than that of control group, the difference was statistically significant (P < 0.05); in the observation group were larger than 3.6cm in diameter in patients with severe depression was significantly higher than the diameter less than 3.6cm group, compared with statistical difference existed between groups (P < 0.05).Conclusion the incidence of cerebral infarction in patients with post stroke depression is common in the left hemisphere cortex, and the severity of post-stroke depression is closely related to the size of the infarct size.
关键词
【关键词】首发脑梗死;卒中后抑郁;临床特征;相关性
KeyWord
【Key words】 first cerebral infarction; poststroke depression; clinical features; correlation
基金项目
页码 652-654
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刘立阳*,姜新,吴皎,姚志成. 首发脑梗死患者卒中后抑郁的临床特征及与病灶相关性分析 [J]. 国际精神病学杂志. 2017; 44; (4). 652 - 654.

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