中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
1期
38-40
,共3页
卒中后抑郁程度%相关因素%不同程度%抑郁患者%治疗
卒中後抑鬱程度%相關因素%不同程度%抑鬱患者%治療
졸중후억욱정도%상관인소%불동정도%억욱환자%치료
The extent of post-stroke depression%Related factors%Varying degrees%Depression%Treatment
目的：通过对102例卒中后抑郁患者的临床调查，分析影响卒中后抑郁程度的相关因素及不同程度抑郁患者的治疗。方法：对102例卒中后抑郁患者进行年龄、性别、职业、家庭关系、卒中次数、合并症（包括高血压、糖尿病、冠心病等）调查，应用Logistic回归探讨与抑郁程度相关的因素，同时应用抑郁自评表和汉密尔顿抑郁表对102例患者的抑郁程度进行评估，其中轻度抑郁者58例，中重度抑郁者44例。将轻度抑郁者分为试验组和对照组，每组各29例；中重度抑郁者分为试验组和对照组两组，每组各22例。试验组患者采用心理治疗和氟西汀联合治疗，对照组患者采用单纯心理治疗。治疗后通过采用社会支持评定表、中风病患者生存质量评定表和汉密尔顿抑郁量表进行疗效评价。结果：年龄、家庭关系、卒中次数和合并症是影响卒中后抑郁程度的相关因素，年龄越大、卒中次数越多、存在合并症会增高卒中后抑郁发生几率，家庭关系和睦有利于降低卒中后抑郁的发生；单纯心理治疗轻度抑郁患者疗效较好，试验组与对照组间临床疗效无差异，相对于中重度抑郁患者，试验组的临床疗效明显好于对照组，差异具有统计学意义（P<0.05）。结论：年龄、家庭关系、卒中次数和合并症是影响卒中后抑郁程度的相关因素，对于轻度抑郁患者，单纯心理治疗就可取得较好疗效，对于中重度抑郁患者，心理治疗联合氟西汀的临床疗效优于单纯心理治疗。
目的：通過對102例卒中後抑鬱患者的臨床調查，分析影響卒中後抑鬱程度的相關因素及不同程度抑鬱患者的治療。方法：對102例卒中後抑鬱患者進行年齡、性彆、職業、傢庭關繫、卒中次數、閤併癥（包括高血壓、糖尿病、冠心病等）調查，應用Logistic迴歸探討與抑鬱程度相關的因素，同時應用抑鬱自評錶和漢密爾頓抑鬱錶對102例患者的抑鬱程度進行評估，其中輕度抑鬱者58例，中重度抑鬱者44例。將輕度抑鬱者分為試驗組和對照組，每組各29例；中重度抑鬱者分為試驗組和對照組兩組，每組各22例。試驗組患者採用心理治療和氟西汀聯閤治療，對照組患者採用單純心理治療。治療後通過採用社會支持評定錶、中風病患者生存質量評定錶和漢密爾頓抑鬱量錶進行療效評價。結果：年齡、傢庭關繫、卒中次數和閤併癥是影響卒中後抑鬱程度的相關因素，年齡越大、卒中次數越多、存在閤併癥會增高卒中後抑鬱髮生幾率，傢庭關繫和睦有利于降低卒中後抑鬱的髮生；單純心理治療輕度抑鬱患者療效較好，試驗組與對照組間臨床療效無差異，相對于中重度抑鬱患者，試驗組的臨床療效明顯好于對照組，差異具有統計學意義（P<0.05）。結論：年齡、傢庭關繫、卒中次數和閤併癥是影響卒中後抑鬱程度的相關因素，對于輕度抑鬱患者，單純心理治療就可取得較好療效，對于中重度抑鬱患者，心理治療聯閤氟西汀的臨床療效優于單純心理治療。
목적：통과대102례졸중후억욱환자적림상조사，분석영향졸중후억욱정도적상관인소급불동정도억욱환자적치료。방법：대102례졸중후억욱환자진행년령、성별、직업、가정관계、졸중차수、합병증（포괄고혈압、당뇨병、관심병등）조사，응용Logistic회귀탐토여억욱정도상관적인소，동시응용억욱자평표화한밀이돈억욱표대102례환자적억욱정도진행평고，기중경도억욱자58례，중중도억욱자44례。장경도억욱자분위시험조화대조조，매조각29례；중중도억욱자분위시험조화대조조량조，매조각22례。시험조환자채용심리치료화불서정연합치료，대조조환자채용단순심리치료。치료후통과채용사회지지평정표、중풍병환자생존질량평정표화한밀이돈억욱량표진행료효평개。결과：년령、가정관계、졸중차수화합병증시영향졸중후억욱정도적상관인소，년령월대、졸중차수월다、존재합병증회증고졸중후억욱발생궤솔，가정관계화목유리우강저졸중후억욱적발생；단순심리치료경도억욱환자료효교호，시험조여대조조간림상료효무차이，상대우중중도억욱환자，시험조적림상료효명현호우대조조，차이구유통계학의의（P<0.05）。결론：년령、가정관계、졸중차수화합병증시영향졸중후억욱정도적상관인소，대우경도억욱환자，단순심리치료취가취득교호료효，대우중중도억욱환자，심리치료연합불서정적림상료효우우단순심리치료。
Objective: To analyze related factors affected the degree of depression after stroke and treatment of patients with varying degrees of depression by clinical investigation of 102 cases of depressions after stroke.Method: 102 cases of depressions after stroke of age, sex, occupation, family relationships, frequency of stroke,comorbidities (including hypertension, diabetes, coronary heart disease, etc.) were to investigated , related factors of the degree of depression were explored by the application of Logistic regression,while applications of depression self-assessment form and Hamilton Depression table for 102 patients with the degree of depression were evaluated,then 58 cases of mild depression, moderate to severe depression were 44 cases. The mild and moderate to severe depression who were divided into two groups,29 cases in each mild depression groups and 22 cases in each moderate to severe depression groups.The experimental group of patients with psychological therapy and fluoxetine combination therapy,and the control group were treated with psychotherapy alone. After treatment, social support tables, stroke patients of quality of life assessment form and Hamilton Depression Scale for efficacy evaluation were used.Result:Age, family relations, and the number of stroke ,complications were related factors affecting the degree of depression after stroke, there was statistical significance; for patients with mild depression,effect was good, clinical efficacy between the experimental and control groups was no significant differences; for patients with moderate to severe depression, the clinical efficacy of the experimental group was significantly higher,there was a statistically significant difference(P<0.05).Conclusion: Age, family relations, and the number of stroke, complications are related factors that affects the degree of depression after stroke, for patients with mild depression, psychotherapy alone can achieve better results, for patients with moderate to severe depression, the clinical efficacy of psychological therapy combined with fluoxetine is better than psychotherapy alone.
