研究急性期脑卒中患者的抑郁程度与神经功能、阳性与阴性症状和Nesfatin-1的关系

The Correlation Study on the Relationship between PANSS, Nesfatin-1 and Nerve Function in Depressive Degree of Patients with Acute Cerebral Stroke

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(5)
作者
作者单位

大庆市第五医院 ;
黑龙江省大庆市第五医院 ;

摘要
摘要:分析急性期的脑卒中患者抑郁程度与阳性与阴性症状、Nesfatin-1和神经功能缺损程度的关系研究。方法 随机选取2014年5月-2016年5月在我院住院治疗的处于急性期的脑卒中患者160例,依据其是否发生卒中后抑郁分组,包含抑郁组与非抑郁组。评价患者的抑郁程度、阳性与阴性症状和神经功能缺损程度,检测血浆Nesfatin-1水平,分析各因素和患者抑郁程度的相关性。结果 脑卒中患者中卒中后抑郁发生率是46.25%(74例),其中轻度是54.05%(40/74),中度是28.38%(21/74),重度是17.57%(13/74)。不同抑郁程度的脑卒中患者的阴性症状、精神病理状况、肥胖的发生率、病灶位置与血浆Nesfatin-1水平存在显著的差异(P<0.05),重度抑郁患者的NIHSS评分、阴性症状、精神病理状况评分明显高于非抑郁、轻度、中度抑郁组,组间比较差异显著(P<0.05)。经多因素分析,重度抑郁和病灶位置、阴性症状、精神病理状况、NIHSS与血浆Nesfatin-1水平具有明显的关系(P<0.05)。结论 脑卒中患者的卒中后抑郁发病率较高,在脑卒中的急性期主要是中度和轻度。病灶位置、阴性症状、血浆Nesfatin-1水平、NIHSS与精神病理状况能影响脑卒中患者的抑郁程度,在临床中应对各因素进行早期预防干预,防止抑郁程度加重。
Abstract
Abstract: Objective To analyze the relationship between PANSS, Nesfatin-1 and nerve function defect degree in depressive degree of patients with acute cerebral stroke. Methods 160 patients with acute stroke were selected randomly in our hospital from May 2014 to May 2016. They were divided into depression group and non depression group by post-stroke depression. The nerve function defect degree, depressive degree, PANSS and Nesfatin-1 levels was diagnosed, and the relationship between factors and depressive degree was analyzed. Results The incidence of post-stroke depression was 46.25% (n = 74), 54.05%(40/74) of them were slightly depressed, 28.38% (21/74) of them were moderately depressed, and 17.57% (13/74) of them were severely depressed. The incidence of obesity, negative syndrome, spectacular downfall, lesion location, NIHSS and Nesfatin-1 in patients with different degree depression had significant difference (P<0.05). The scores of NIHSS, negative syndrome and spectacular downfall in severe depression group was significantly higher than that in non depression, mild and Moderate depression group(P<0.05). By multiple factor analysis, negative syndrome, spectacular downfall, lesion location, NIHSS and Nesfatin-1 was closely related to depression severity of acute stroke patients (P<0.05). Conclusion The incidence rate of acute stroke patients with depression after stroke is high, mostly in moderate and mild. Negative syndrome, spectacular downfall, lesion location, NIHSS and Nesfatin-1 was closely related to depression severity of acute stroke patients. The early prevention and intervention should be took to reduce the severity of post-stroke depression in the clinic.
关键词
关键词:急性期;脑卒中;抑郁程度;相关性
KeyWord
Key words: Acute; Stroke; Depressive degree ; Incidence
基金项目
页码 841-843
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石杰*,邱红,艾永梅,陈捷. 研究急性期脑卒中患者的抑郁程度与神经功能、阳性与阴性症状和Nesfatin-1的关系 [J]. 国际精神病学杂志. 2017; 44; (5). 841 - 843.

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